NCLEX-PN® ExaminationBasic Care and ComfortHard
A client with a new hip replacement is being discharged home. The LPN is reinforcing discharge instructions regarding assistive devices for mobility. Which statement by the client indicates a need for further teaching?
- A“I should avoid bending at the hip past 90 degrees.”
- B“I can cross my legs while sitting in a chair to be more comfortable.”
- C“I will try to use crutches on the stairs, one step at a time.”
- D“I will use my walker to help me get around the house.”
Show answer & explanationAnswer & explanation
Correct answer: B. “I can cross my legs while sitting in a chair to be more comfortable.”
Crossing the legs (adduction and internal rotation) violates hip precautions for a new hip replacement and can lead to dislocation. This statement indicates a need for further teaching.
Why the other options are wrong
- A. Avoiding hip flexion past 90 degrees is a standard hip precaution to prevent dislocation.
- C. Using crutches on stairs, one step at a time, is a correct technique for navigating stairs post-hip replacement, though specific technique depends on the type of crutches/stairs.
- D. Using a walker for ambulation is appropriate for stability after hip replacement.
Hip Precautions Post-Surgery
Hip precautions are specific movements and positions to avoid after hip replacement surgery to prevent dislocation of the new joint and promote healing.
- Avoid hip flexion beyond 90 degrees.
- Avoid adduction (crossing legs).
- Avoid internal rotation.
Memory trick: No Naughty Hips: No 90°, No Crossing, No Turning In.