NCLEX-RN

Category - Physiological

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A nurse is receiving a client from the postanesthesia unit who just had an internal fixation of the left hip. The nurse should take the following actions except:

Use of trochanter rolls to prevent external rotation
Maintaining the operated leg in adduction
Instructing the client to keep the operated leg elevated when getting out of bed, once she is allowed out of bed
Turning the client from back to the unaffected side

Explanation

Answer: B - Leg abduction is maintained after the internal fixation to prevent rotation of the operated hip. The client can be turned from back to the affected side only if prescribed by the physician. The other options are appropriate.

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