Page 516 - Saunders Comprehensive Review For NCLEX-RN

a. Positioning depends on the

surgical techniques used (anterior or
posterior approach), the method of
implantation, the prosthesis, and
surgeon’s preference.
b. Avoid extreme internal and external
rotation.
c. Avoid adduction; in most cases side-
lying is permitted as long as an
abduction pillow is in place; some
surgeons allow turning to only 1 side.
d. Maintain abduction when the client is
in a supine position or positioned on
the nonoperative side.
e. Place a wedge (abduction) pillow
between the client’s legs to maintain
abduction; instruct the client not to
cross the legs
f. Check the PHCP’s prescriptions
regarding elevation of the head of the
bed and hip flexion.
2. Devices used to promote proper positioning (Box 16-2)

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