23. An elderly client, who underwent a total hip replacement 3 days ago, asks why "crossing my legs" is prohibited. The correct response by a nurse is based on the knowledge that:
23. An elderly client, who underwent a total hip replacement 3 days ago, asks why "crossing my legs" is prohibited. The correct response by a nurse is based on the knowledge that:
. Abduction can cause dislocation of the prosthesis.
. Adduction can cause dislocation of the prosthesis.
. Pressure on arteries in the legs can cause blood clots.
. Avoiding acute flexion of the hip prevents contractures.
Test-Taking Tip
Visualize the position of the client after surgery with the "abductor" pillow to prevent dislocation. Think: the opposite of abduction—adduction.
Content Area: Adult Health, Musculoskeletal; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
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Answer 1 is incorrect because abduction prevents dislocation. Answer 2 is correct because crossing the legs, or bringing the legs together, exerts pressure on the hip and increases the risk of dislocation. Answer 3 is incorrect because blood clots develop in the veins, not arteries. Answer 4 is incorrect because acute flexion (greater than 90 degrees) increases the risk of dislocation.