CRNE Exam Prep

Category - Partnership

Mr. Dane is a 34-year-old lawyer who will have a total hip replacement surgery in two weeks. He is concerned about allowable sexual activity after hip replacement. Mr. Dane asks the nurse what is a safe sexual activity after surgery. The nurse makes which of the following appropriate statements?
  1. “You must have a talk about sexual activity after hip replacement with your surgeon.”
  2. “Usually, sexual activity is allowed 10 weeks after surgery.”
  3. “There are basically no restrictions on sexual positions so long as you don’t experience pain.”
  4. “Are you concerned about your surgery affecting your sex life?”
Explanation
Answer: D - The most appropriate statement of the nurse should focus on assessing the client’s view on how his surgery could affect his sex life. The nurse must help allay fears about injury or dislocation of hips when having sexual intercourse. There is no single sex position that will prevent discomfort. The nurse must help the client understand other ways of expressing intimacy between couples. Option A does not immediately address the client’s needs. Option B is incorrect; sexual intercourse may be safe four to six weeks after surgery to allow healing of wound and muscles. Option C is incorrect; initially the client is not allowed to perform activities that involve extreme flexion of the hips or twisting of the legs and heavy lifting. Pain and discomfort are expected during the first few months after the surgery.
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