Total Hip & Knee Replacement (NCLEX) QUESTIONS AND ANSWERS

Total Hip & Knee Replacement (NCLEX) Which type of traction is frequently used pre -op for total hip replacement? CORRECT ANSWER - Buck's traction Which check should be done post -op for both total hip & total knee replacements? CORRECT ANSWER - Neurovascular checks After a total hip or total knee replacement, the nurse should monitor the patients' drains (if they have them) as we don't want ______. CORRECT ANSWER - fluid to accumulate within the tissues (this could disrupt the suture lines) Anytime you have a patient with an orthopeutic or joint problem, they need a ______ mattress because ______. CORRECT ANSWER - firm; it provides support After a total hip or total knee replacement, why does the patient need a firm mattress? CORRECT ANSWER - Because the joints need support After a total hip or total knee replacement, having an over the bed trapeze will help to _______ CORRECT ANSWER - build upper body strength (good thing because when the patient starts to ambulate they'll need that upper body strength with the walker and/or cane, etc) After a total hip replacement, the position you want the patient in is a ______ rotation. CORRECT ANSWER - neutra l ______ refers to a position that involves the patient flat on their back (or HOB slightly elevated) and their toes pointed at the ceiling with no twists or bends. CORRECT ANSWER - Neutral rotation After a total hip replacement, what could happen if the patient was originally in neutral rotation but has now turned their foot outward? CORRECT ANSWER - Hip could dislocate After a total hip or total knee replacement, we want the patient to limit ______ of the hip as we want ______ of the hip. CORRECT ANSWE R - flexion; extension When standing straight up, you are ______ your hip, and when you bend over, you are ______ your hip. CORRECT ANSWER - extending; flexing After a total hip replacement, what could flexion of the hip do? CORRECT ANSWER - Dislocate th e hip After a total hip replacement, we want to avoid flexion of the hip, so they nurse need to be extra careful when doing which 2 things? CORRECT ANSWER - Elevating the HOB & helping the patient get out of bed After a total hip replacement, do we want the patient in abduction or adduction? CORRECT ANSWER - Abduction In regard to wanting a post -op total hip patient to abduct, we want the patient to have their legs _______ and their toes _______. CORRECT ANSWER - slightly apart; pointed up towards the ceiling What is the purpose of keeping a post -op total hip patient i n abduction? CORRECT ANSWER - To keep the hip in the socket (so we don't dislocate it - that's why they have those abductor pillows) ______ refers to the movement of a limb or other part away from the midline of the body, or from another part. CORRECT ANS WER - Abduction ______ refers to the movement of a body part toward the body's midline. CORRECT ANSWER - Adduction What exercises can the post -op total hip or total knee patient do while still confined to bed? CORRECT ANSWER - Isometric exercises Isomet ric exercise sizes can involve squeezing one's gluc's or quads as when the patient squeezes these muscles, they enhance ______ and help to ______. CORRECT ANSWER - venous return; maintain muscle tone What's the purpose of the trochanter roll? CORRECT ANSW ER - To prevent external rotation ______ refers to rolling up a towel/blanket and putting it along the greater trochanter to keep the patients' foot from turning outwards. CORRECT ANSWER - Trochanter roll In regard to total hip & total knee post -op patie nts, it's important for the nurses to document that ______ was in place. CORRECT ANSWER - trochanter roll In regards to post -op for total hip and total knee replacement patients, there should be no ______ until prescribed by the primary healthcare provide r. CORRECT ANSWER - weight -bearing A post -op total hip patient needs to avoid ______ and ______ as these actions will cause their new hip to dislocate. CORRECT ANSWER - crossing legs; bending over