Question

The nurse assesses a client 48 hours after a total joint replacement of the right hip. Which finding does the nurse report to the health care provider?

1. The client requests analgesics less frequently.
2. The right leg is abducted beyond the body's midline.
3. The right leg is outwardly rotated.
4. The hip joint is flexed at a 60-degree angle when the client reclines in the chair.

Answer 1

The nurse should report that the right leg is outwardly rotated post a total hip replacement surgery, as it might indicate a possible dislocation or incorrect position of the new joint.

Step-by-step explanation:

The nurse should report to the health care provider that the right leg is outwardly rotated. This could be indicative of a dislocation or improper positioning of the prosthetic joint post-operatively. While the client requesting analgesics less frequently, and having the hip joint flexed at a 60-degree angle when reclining are generally not concerning, excessive abduction beyond the body's midline might also need to be assessed if it suggests a positioning issue or potential dislocation. Proper positioning and the prevention of dislocation is crucial after total hip replacement surgery. The newly placed joint must be kept in proper alignment especially during the critical early recovery phase to ensure successful healing and function.