An older woman is being discharged home after repair of a left hip fracture. Which statement by the client would indicate to the nurse that additional teaching is needed?
1. "I put an extension on the toilet seat to make it higher."
2. "I will ask for help in putting on my shoes and socks."
3. "I will use a walker for a while until I am more stable."
4. "I can sleep in any position that is comfortable."
Answer: 4
The client needs to maintain abduction on the affected left extremity. She should not sleep on her right side with her left leg crossing over the right (Sims position). An extension for the toilet seat to make it higher and using a walker are appropriate for the client. Asking for help with shoes and socks helps prevent extreme flexion of the affected hip.
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