RN VATI Adult Medical Surgical 2019 CLOSE Question 90 loaded rationals provided Question: 90 of 90 CORRECT • Time Remaining: 00:38:42 • Pause Remainin... kituny
Medical & Surgical Nursing (Notes)
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One of the most successful surgeries in orthopedics is the total hip replacement. In this procedure, the acetabulum and the head of the femur is replaced with prostheses. In cases where a severely damaged hip is present, an artificial joint is used to replace the non-functional area. IndicationsTotal Hip Replacement surgery is indicated in the following conditions:
Nursing InterventionsIt is very important that the nurse is aware that complications might harm the client when left unnoticed and no prompt treatment is carried out on time. Potential complications with this procedure should be made known specifically to the nurse. Nursing care plans should be focused on preventing the occurrence of the following complications:
Nursing interventions for possible DISLOCATION OF THE HIP PROSTHESISThe new hip can be dislocated easily. Thus, the nurse must promote patient teaching on preventing hip prosthesis dislocation which includes the following:
When transferring or sitting the patient who underwent total hip replacement:
Nursing Interventions for possible EXCESSIVE WOUND DRAINAGE
Nursing Interventions for possible Deep Vein ThrombosisAfter THR, a thrombus, also known as blood clot, may form in the veins of the client’s thighs, pelvis or leg. Promoting circulation and decreasing the venous stasis are the priorities the nurse must keep in mind after a hip reconstruction.The following are important interventions in preventing thrombus formation:
Nursing Interventions for possible InfectionA small number of people can develop an infection with a total hip replacement. This may require further surgery to remove the prosthetic components and clean out the joint along with a course of antibiotics lasting 6-8 weeks.
Risk for Infection Risk factors may include
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Nursing DiagnosisImpaired Physical Mobility May be related to
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Promote participation in rehabilitative exercise program:
Nursing DiagnosisRisk for Peripheral Neurovascular Dysfunction Risk factors may include
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Monitor laboratory studies:
Nursing DiagnosisAcute Pain May be related to
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Nursing DiagnosisDeficient Knowledge May be related to
Possibly evidenced by
Desired Outcomes
Nursing Interventions
Other Nursing Care Plan Source
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