A nurse is providing discharge teaching to a client following a total hip arthroplasty. Which of the following statements by the client indicates an understanding of the teaching?
Explanation & Rationale
Rationale: A. After a total hip arthroplasty, clients are often allowed to shower once the incision is stable and per provider instructions, typically with waterproof dressing in place. Prolonged avoidance of showers is not necessary and may increase risk of infection due to poor hygiene. Specific postoperative instructions vary, but complete avoidance of showering until full healing is not standard teaching. B. Weight-bearing status after total hip arthroplasty depends on the surgical technique and provider prescription. Many clients are allowed partial or full weight-bearing early with assistive devices. Therefore, a blanket statement of “no weight at all” is not generally correct unless specifically ordered. C. After a total hip arthroplasty, hip precautions are essential to prevent dislocation of the prosthesis. Crossing the legs (adduction past midline) can place stress on the new hip joint and increase the risk of dislocation. Clients are typically instructed to avoid hip flexion beyond 90 degrees, adduction, and internal rotation depending on the surgical approach. D. Anticoagulants are commonly restarted soon after surgery to prevent deep vein thrombosis and pulmonary embolism, often within 24–72 hours depending on bleeding risk and provider orders. Delaying anticoagulation for two weeks would significantly increase the risk of thromboembolic complications.