Total Hip Replacement Questions And
Answers
Impairedtphysicaltmobilityt(education)t-tCORRECTttANSWER-
Gettingtouttoftbedtistimportant
Usuallyttotbedsidetchair,tmusttbethightenoughttotpreventt<90-degreethiptflexion
Standtclosettotpatienttusetpropertbodytmechanics
Avoidttwisting
Movetpatientttotedgetoftbedtkeepingtclientstlegstabducted
Allowtweighttbaringtpertphysicianstorders
Havetpatientttouchtchairtbehindthertwiththandstandtusetarmstoftchairttotdirecttpatienttdown
Usetelevatedtchairtwithtarms
Alsotneedtelevatedtstooltextender
ContinuettotusetROM
NursingtManagementt-tCORRECTttANSWER-Mosttadmittedtontdaytoftsurgery
Sometmaytneedttractiontpriorttotsurgery
Pre-optteachingtintofficetortambulatorytsurgerytholdingtarea
Crutchtwalking,twalker
Teachthowttotmovetwithouttflexingthiptlesstthant90tdegrees
Exercises:tquadricepstsets,tglutealtsets,tuppertextremitytstrengtheningtexercise
Assesstcarettakertandteducate
Post-OptAssessmentt-tCORRECTttANSWER-
Neurovascular:tcolor,twarmth,tmovement,tsensation,tcaptrefill,tpedaltpulsestintbothtfeet
Compartmenttsyndromet-
tnottenoughtspacet(tootmuchtswelling)tcan'ttfeelttheirttoes,tfoottturnstblue,tetc.t
Largetdressingtintplacetfort2tdays.tObservetfortdrainagetortleakingtaroundtdressing
Hemovactdrain
Maytalsothavetdrainttotre-infusetbloodt1stt24thours.
Moderatetdrainagetovert48thours,tlesstthant600tmL/24thours.t200tint8thours
Maythavetbeenthydratedtwithtplasmatexpanders
StricttI&O
Paint-tintensetrequirestIVtmedicationtortepidural
PCAtpump
Encouragetactivityt-tmedicatetclienttbeforettheytgettouttoftbed
Outtoftbedtusuallytdayt1tposttopt-trequirest2tstaff
Answers
Impairedtphysicaltmobilityt(education)t-tCORRECTttANSWER-
Gettingtouttoftbedtistimportant
Usuallyttotbedsidetchair,tmusttbethightenoughttotpreventt<90-degreethiptflexion
Standtclosettotpatienttusetpropertbodytmechanics
Avoidttwisting
Movetpatientttotedgetoftbedtkeepingtclientstlegstabducted
Allowtweighttbaringtpertphysicianstorders
Havetpatientttouchtchairtbehindthertwiththandstandtusetarmstoftchairttotdirecttpatienttdown
Usetelevatedtchairtwithtarms
Alsotneedtelevatedtstooltextender
ContinuettotusetROM
NursingtManagementt-tCORRECTttANSWER-Mosttadmittedtontdaytoftsurgery
Sometmaytneedttractiontpriorttotsurgery
Pre-optteachingtintofficetortambulatorytsurgerytholdingtarea
Crutchtwalking,twalker
Teachthowttotmovetwithouttflexingthiptlesstthant90tdegrees
Exercises:tquadricepstsets,tglutealtsets,tuppertextremitytstrengtheningtexercise
Assesstcarettakertandteducate
Post-OptAssessmentt-tCORRECTttANSWER-
Neurovascular:tcolor,twarmth,tmovement,tsensation,tcaptrefill,tpedaltpulsestintbothtfeet
Compartmenttsyndromet-
tnottenoughtspacet(tootmuchtswelling)tcan'ttfeelttheirttoes,tfoottturnstblue,tetc.t
Largetdressingtintplacetfort2tdays.tObservetfortdrainagetortleakingtaroundtdressing
Hemovactdrain
Maytalsothavetdrainttotre-infusetbloodt1stt24thours.
Moderatetdrainagetovert48thours,tlesstthant600tmL/24thours.t200tint8thours
Maythavetbeenthydratedtwithtplasmatexpanders
StricttI&O
Paint-tintensetrequirestIVtmedicationtortepidural
PCAtpump
Encouragetactivityt-tmedicatetclienttbeforettheytgettouttoftbed
Outtoftbedtusuallytdayt1tposttopt-trequirest2tstaff