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    Med Surg Proctored Exam (Musculoskeletal)- Falcon Institute Of Health And Science

    A visiting nurse is reviewing with a patient hip replacement precautions. What statement by the patient demonstrates the need for further teaching?

    Explanation & Rationale

    A. "I need to use this annoying wedge pillow between my legs when I sleep": After a hip replacement, keeping the legs properly aligned is crucial to prevent dislocation. Using a wedge pillow between the knees maintains abduction and is an appropriate precaution, demonstrating correct understanding. B. "I can cross my legs if it is comfortable and doesn't hurt": Crossing the legs after hip replacement increases the risk of hip dislocation, even if it feels comfortable. This statement shows a misunderstanding of hip precautions and indicates the need for further teaching. C. "I can walk a little bit every day, it is good for me": Gradual ambulation is encouraged to promote circulation, maintain joint mobility, and prevent complications such as deep vein thrombosis. This demonstrates correct comprehension of post-operative activity guidelines. D. "I need to use a toilet riser": A raised toilet seat helps maintain hip precautions by reducing hip flexion beyond 90 degrees during sitting and standing. This shows proper understanding of safety measures after surgery.

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