A client had a total hip arthroplasty from the posterolateral approach. The nurse ensures correct positioning by placing the client with the operative leg
A) abducted with a triangular foam pillow.
B) externally rotated to 90 degrees.
C) in a flexed position with pillows between the knees.
D) internally rotated to no more than 60 degrees.

Question

Quizplus · Accepted Answer

Using this approach, the operative leg must be kept abducted and extended. When ambulating, the client should point toes slightly outward to prevent internal rotation. When turned to the side in bed, the abductor pillow stays in place. The client should also not flex the hip beyond 90 degrees, making some adaptations in ADLs necessary.

A Client Had a Total Hip Arthroplasty from the Posterolateral