2. An elderly client has a noncemented total hip joint placed. Postoperative activity for this client should include:
2. An elderly client has a noncemented total hip joint placed. Postoperative activity for this client should include:
. Bedrest for 6 weeks with continuous passive motion.
. Touch-down weight-bearing starting first postoperative day.
. Head of bed flat for 48 hours.
. Hip immobilization for 3 to 4 weeks with no weight-bearing.
Test-Taking Tip
The question asks for an "activity." Only one option describes a mobility activity.
Content Area: Geriatrics, Musculoskeletal; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Mobility/Immobility
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Answer 1 is incorrect because, as long as bones and joints are stabilized, ambulation with weight-bearing improves healing. Prolonged bedrest is associated with many damaging complications, including deep vein thrombosis, pressure ulcers, and pneumonia. Continuous passive motion maintains range of motion, but does not protect from other complications of immobility. Answer 2 is correct because early mobilization improves healing and reduces complications resulting from immobility. Because the joint is not cemented, surgeons often request less than full weight-bearing for initial mobilization. Answer 3 is incorrect because modern surgical procedures for hip replacement minimize damage to surrounding soft tissues; therefore, the head of the bed can be elevated with all surgical approaches. Answer 4 is incorrect because immobilization of the hip is not necessary and would result in complications of immobility. Weight-bearing, as long as the joint is stable, improves healing.