HIP ARTROPLASTY EXAM QUESTIONS AND ANSWERS

HIP ARTROPLASTY What factors may have an impact on the client's post-op care? - Answer- - pain - functional mobility/ADLs - balance - gait (use of walking aids, exercise tolerance) - other MSK issues - falls - sensory assessment How should the home be set up prior to hip surgery? - Answer- - have equipment in place - be able to use a walker or crutches - can it be set up so that you don't have to use stairs What equipment would be useful post-op of a hip replacement? - Answer- - raised toilet - shower bench - hand held shower - non-slip bath mat - grab bars in tub and near toilet - walker or crutches - long handled reacher - long handled shoe horn - sock aid - long-handled sponge - supportive shoes What are the weight limits for crutches and 2WW - Answer- 250 lb - crutches 300 lb - 2WW How high showed a seat be following hip replacement - Answer- seat should be 2 inches above knee caps What are normal WBC levels? - Answer- 4-11x10^9/L What Hgb levels require transfusion? - Answer- 75g/L requires transfusion 135 to 170 g/L (normal) What are normal RBC and platelet counts? - Answer- 4.20 - 5.80 tera/L (RBC) 150 - 400 giga/L (Platelets) What are the precautions post hip replacement surgery? - Answer- For 3 months: - no hip flexion greater than 90 degrees - no ADduction past neutral - no hip internal or external rotation for three months - No active or resisted hip ABduction usually for 6 week With the lateral approach, what nerve damage and what position is dislocation is more common? - Answer- - femoral nerve traction - prone to dislocation in the extended, externally rotated position