Practice Quiz

CRNE Canadian Registered Nurse

Category - Wellness

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Terry, a 56-year-old female, fractured her right hip after a fall. Internal fixation with replacement of the femoral head with a prosthesis is performed. Which of the following actions by the nurse assigned to care for Terry after the surgery is NOT appropriate?
  1. Turning the client from back to unaffected side
  2. Maintaining abduction of the involved leg
  3. Ensuring that hip flexion angle does not exceed 80-degrees
  4. Elevating the head of bed to 90degrees during meals
Explanation
Answer: D - The head of bed is elevated 30 to 45degrees during meals. Placing the head of bed higher than the recommended angle disrupts proper alignment. The other instructions are correct. The nurse should not position the client to the affected side. The use of trochanter rolls is recommended in order to prevent external rotation.
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