A client is being discharged home from an acute care facility ...

[jeatrice]

A client is being discharged home from an acute care facility following a total hip replacement. She will require follow up for health care, and also exercise. In addition to a home health nurse, what other service will this client require?
 
  a. Dietitian
  b. Social worker
  c. Physiotherapist
  d. Respiratory therapist

Question 2

To reduce the chance of external hip rotation in a patient on prolonged bed rest, the nurse should implement the use of which following device?
 
  a. Footboard
  b. Trochanter roll
  c. Trapeze bar
  d. Bed board

[Swizqar]

Answer to Question 1

C
Community health nurses bring together resources to improve continuity of care for clients. In collaboration with clients, health care and social service professionals, and other community members, they coordinate health care services, locate appropriate services, and develop innova-tive approaches to address client's health care issues. A physiotherapist would be an appropriate service for a post-hip replacement client's exercise program.
A dietitian may not be required.
A social worker may not be required.
A respiratory therapist may not be required.

Answer to Question 2

B

Feedback
A The footboard prevents footdrop by maintaining the feet in dorsiflexion.
B A trochanter roll prevents external rotation of the hips when the patient is in a supine position.
C The trapeze bar allows the patient to pull with the upper extremities to raise the trunk off the bed, to assist in transfer from bed to wheelchair, or to perform upper arm exercises.
D A bed board is used to increase back support and alignment, especially with a soft mattress.

[jeatrice]

TYSM

[kjohnson]

Excellent