What should a nurse monitor for in a patient who underwent a total hip replacement?

• A. Signs of infection
• B. Signs of deep vein thrombosis (DVT)
• C. Signs of pulmonary embolism
• D. Signs of joint dislocation

Answer: (B)

Monitoring for signs of deep vein thrombosis (DVT) following a total hip replacement is crucial due to the increased risk associated with surgical interventions, especially in lower extremities. DVT can occur as a result of impaired blood flow and immobility after surgery. Symptoms to watch for include swelling, pain, redness, or warmth in the affected leg. It's important for nurses to assess the patient regularly for these signs to implement preventative measures, such as anticoagulation therapy or mechanical prophylaxis, if needed.

While signs of infection, pulmonary embolism, and joint dislocation are also important considerations in post-operative care, the focus on DVT is particularly pertinent due to the nature of hip surgeries and the risk profile they entail. Detection and management of DVT not only help in preventing further complications but also contribute to the overall recovery and functionality of the patient post-surgery.