The nurse is turning a patient with a total hip replacement. Which of the following is the appropriate intervention?
Explanation & Rationale
Choice A reason: Keeping legs abducted with a pillow between them prevents dislocation of the hip prosthesis after total hip replacement. This maintains joint stability by avoiding adduction and internal rotation, which can dislodge the implant, making it the correct intervention. Choice B reason: Flexing the knee on the affected side risks hip dislocation, as excessive flexion (beyond 90°) strains the prosthesis. Abduction with a pillow is the standard to maintain alignment, making this an incorrect and unsafe action. Choice C reason: Turning the patient to the affected side is not recommended, as it may cause the hip to adduct or rotate, risking dislocation. Abduction with a pillow ensures safe positioning, making this an incorrect intervention for hip replacement care. Choice D reason: Changing the patient’s position is vague and does not specify safe technique. Specific positioning, like leg abduction with a pillow, is critical to prevent complications, making this choice too general and less appropriate than the targeted intervention.