Stimson, age 59 years old, had a total left hip replacement after a bathroom accident. The doctor orders for a possible discharge the day after tomorrow. Discharge teaching for Mr. Stimson should include:
A)Use of a raised toilet seat
B)Daily monitoring of coagulation status if the client will be self-administering enoxaparin at home
C)A gentle program of jogging to strengthen the quadriceps muscles
D)Active range of motion exercises that include 90° flexion at the hip

Question

Quizplus · Accepted Answer

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.

Stimson, Age 59 Years Old, Had a Total Left Hip