Orthopaedic Nurse Certified (ONC) Exam

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A patient 6 hours post-total hip arthroplasty (posterior approach) reports severe hip pain and an inability to bear weight. Assessment reveals the affected leg is shortened and internally rotated. What is the priority intervention?

Administer prescribed analgesics and reassess Notify the surgeon immediately for suspected dislocation Reposition the patient with abduction pillow and monitor Obtain an X-ray per standing nursing orders

Correct Answer:

Notify the surgeon immediately for suspected dislocation

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