NCLEX-RN practice › Reduction of Risk Potential
NCLEX question: posterior hip replacement precautions (SATA)
Reduction of Risk Potential · Select all that apply · Clinical judgment step: Evaluate outcomes
Client record
Discharge plan
- Approach
- posterior
- Weight bearing
- as tolerated with walker
- Anticoagulant
- apixaban for 35 days
- Home
- two-storey, bathroom upstairs
A client is preparing for discharge home 2 days after a posterior-approach total hip arthroplasty. Which statements indicate correct understanding? Select all that apply.
- A. "I can turn my operated leg inward when I get out of bed."
- B. "I will bend forward to put on my shoes and socks."
- C. "I will keep a pillow between my legs when lying on my side."
- D. "I can cross my legs when I sit if it is comfortable."
- E. "I should sit in a low, soft armchair to rest."
- F. "I can stop the apixaban once I am walking well."
- G. "I will call if my calf is swollen and painful."
- H. "I will use a raised toilet seat at home."
Show the answer and rationales
Answer: C, G, H
After a posterior hip replacement, avoid flexion beyond 90 degrees, adduction past midline and internal rotation. Clients continue VTE prophylaxis for the prescribed time and report signs of clotting.
- A. Incorrect. Internal rotation risks posterior dislocation.
- B. Incorrect. Bending forward flexes the hip beyond 90 degrees; a sock aid and long-handled shoehorn are used.
- C. Correct. An abduction pillow prevents adduction past midline.
- D. Incorrect. Crossing the legs adducts the hip and risks dislocation.
- E. Incorrect. Low chairs force deep hip flexion.
- F. Incorrect. The anticoagulant is taken for the prescribed duration to prevent clots.
- G. Correct. These may be signs of deep vein thrombosis.
- H. Correct. A raised seat keeps hip flexion below 90 degrees.
Scoring: select all that apply items on the Next Generation NCLEX use plus/minus scoring. You gain a point for each correct option you choose and lose a point for each incorrect one, with a minimum of zero. This item is worth 3 points.
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