NCLEX Question for development of an external rotation deformity of the hip in a patient who must remain in bed

NCLEX Review Question

In order to help prevent the development of an external rotation deformity of the hip in a patient who must remain in bed for any period of time, the most appropriate nursing action would be to use

a.a trochanter roll extending from the crest of the ilium to the mid thigh.
b.pillows under the lower legs.
c.a hip-abductor pillow.
d.a foot board.

Correct Answer: A
a trochanter roll extending from the crest of the ilium to the mid thigh.
Rationale: A trochanter roll, properly placed, provides resistance to the external rotation of the hip.

pillows under the lower legs.
Rationale: Pillows under the legs will not prevent the hips from rotating externally.

a hip-abductor pillow.
Rationale: A hip-abductor pillow is used for the patient after total hip replacement surgery.

a foot board.
Rationale: A footboard will not prevent the hips from rotating externally.

Posted in: MSN NCLEX