What should a nurse ensure regarding a client's hips immediately post-operative following hip arthroplasty?

After hip arthroplasty, it is crucial for the nurse to maintain the client's hips in an abducted position to prevent dislocation of the hip joint. This positioning helps to keep the new joint stable and aligned properly during the initial healing phase. Abduction typically involves positioning the legs away from the midline of the body, which not only supports the integrity of the surgical site but also aids in proper function and recovery.

Maintaining the hips in an abducted position minimizes the risk of excessive internal or external rotation and flexion, which can jeopardize the surgical outcome. Proper positioning also supports effective circulation and reduces the potential for complications such as pressure ulcers or deep vein thrombosis.

Strategies used to maintain this position often include the use of abductor pillows or wedge devices to help keep the legs in the correct alignment while the client is positioned in bed or during other activities. By ensuring the hips are properly abducted, the nurse plays a key role in promoting optimal recovery and helping the client regain mobility safely.