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What instruction should a nurse provide to a client postoperative from a cemented total hip arthroplasty?

  1. Avoid weight-bearing until healing of the hip incision is complete.

  2. Cross legs intermittently several times a day.

  3. Lean forward to change positions when sitting in a chair.

  4. Maintain hip flexion at 90° or less when sitting.

The correct answer is: Maintain hip flexion at 90° or less when sitting.

Maintaining hip flexion at 90° or less when sitting is crucial for clients who have undergone cemented total hip arthroplasty. This position helps prevent dislocation of the hip joint, which is a significant concern following hip surgery. Dislocations can occur more readily if the hip is flexed beyond 90°, especially during the early stages of recovery. Therefore, it is important for the client to be mindful of their positioning when seated to ensure that their hip joint remains stable and secure as it heals. The other options might involve actions or positions that increase the risk of complications or do not support optimal healing. For example, avoiding weight-bearing might be necessary at certain stages but not indefinitely, and encouraging crossing of the legs or leaning forward can lead to improper hip alignment and potential dislocation.