CMSRN Medical-Surgical Nursing

Answer - A - A raised toilet seat helps client with a total hip replacement to avoid hyperflexion of the hip joint. Choice B is incorrect because although enoxaparin is an anticoagulant intended to prevent thrombus formation, daily monitoring of coagulation studies is not required with this drug. Choice C is incorrect because jogging would be too much impact and stress on the new hip joint; quadriceps strengthening can be accomplished with other exercises that are not contraindicated. Choice D is incorrect because the client with a new hip joint should avoid hip flexion to or beyond 90°. Adduction, or crossing the affected limb over the center of the body, is also contraindicated and can result in dislocation of the new joint.