A client undergoes a total hip replacement. Which statement made by the client would indicate to the nurse that the client requires further teaching()
A. "I’ll need to keep several pillows between my legs at night. "
B. "I need to remember not to cross my legs. It’s such a habit. "
C. "The occupational therapist is showing me how to use a ’sock puller’ to help me get dressed. "
D. "I don’t know if I’ll be able to get off that low toilet seat at home by myself. "
参考答案:D
解析:
To prevent hip dislocation after a total hip replacement, the client must avoid bending the hips beyond 90 degrees. Assistive devices, such as a raised toilet seat, should be used to prevent severe hip flexion. Using an abduction pillow or placing several pillows between the legs reduces the risk of hip dislocation by preventing adduction and internal rotation of the legs. Likewise, teaching the client to avoid crossing the legs also reduces the risk of hip dislocation. A sock puller helps a client get dressed without flexing the hips beyond 90 degrees.