During nursing rounds, which of these assessments would require immediate corrective action and further instruction to the practical nurse (PN) about proper care?
A)A patient with a hip prosthesis one day post operatively is lying in bed with internal rotation and adduction of the affected leg
B)A patient with skeletal traction states, "The other nurse said that the clear, yellow, and crusty drainage around the pin site is a good sign."
C)The nurse observes that the PN moves the extremity of a patient with an external fixation device by picking up the frame
D)The weights of the skin traction of a patient are hanging about two inches from the floor

Question

Quizplus · Accepted Answer

Assessment that would require immediate corrective action and further instruction to the practical nurse (PN) about proper care is if a patient with a hip prosthesis one day post operatively is lying in bed with internal rotation and adduction of the affected leg. This position should be prevented in order to prevent dislodgment of the hip prosthesis, especially in the first forty-eight to seventy-two hours post-op. The other assessments are not of concern.

During Nursing Rounds, Which of These Assessments Would Require Immediate