Question

The nurse is transferring the post-total hip arthroplasty into a wheelchair. Describe the proper method to carry out this transfer.  (Review the Fundamentals Review Module) Suggested Adult Med Surge Learning Activity: Joint Replacement A nurse is caring for a client with hypokalemia. What medications could have caused this imbalance? Suggested Medical Surgical Learning Activity: Electrolyte Imbalance

Answer 1

Total hip replacement: It is indicated in the following conditions.

1. Arthritis such as rheumatoid arthritis and degenarative joint diseases.

2. Fractures of the femoral neck.

3. Failure of previous re constructive surgeries such as failed prostheses, osteotomy and femoral head replacement.

4. Problems that results from congenital hip disease.

Nursing plans should be focused on preventing the occurrence of the following complications:

1. Dislocation of the hip prothesis.

2. Excessive wound drainage.

3. Thromboembolism.

4. Infection.

The nurse should follow the steps for hypokalemia patient.

1. Ensure adequate oxygenation.

2. Provide assistance to prevent falls.

3. Monitor medication administration of diuretics.

4. Prevent complications during potassium administration.

Nurse care plans and nursing diagnosis for fluid and electrolyte imbalances, more specifically:

1. Fluid balance: Hypervolemia( excess fluid volume) and hypovolemia( deficient fluid volume).

2. Potassium imbalances: Hyperkalemia( risk for electrolyte imbalance) and hypokalemia.

3. Sodium imbalances: Hypernatremia and hyponatremia.

4. Magnesium imbalances: Hypermagnesemia and hypomagnesemia.

5. Calcium imbalances: Hypercalcemia and hypocalcemia.