On the first postoperative day after a total hip replacement, a client asks for assistance onto the bedpan. What should the nurse instruct the client to do?

1. Use your elbows and hands to lift your pelvis off the bed.
2. Extend both legs and pull on the trapeze to lift your pelvis.
3. Turn gently toward the operative side while lifting your pelvis off the bed.
4. Flex the knee on the unoperated leg and pull on the trapeze to lift your pelvis.

The nurse should instruct the client to turn gently toward the operative side while lifting the pelvis off the bed. Using the arm strength or the trapeze is not recommended as it can strain the hip. This movement ensures proper healing and alignment.

Explanation:

The nurse should instruct the client to turn gently toward the operative side while lifting the pelvis off the bed. This movement helps to minimize stress on the surgical site and promote proper healing. Using their arm strength or the trapeze to lift the pelvis can put unnecessary strain on the hip, jeopardizing the success of the total hip replacement surgery. By gently turning toward the operative side, the client can minimize discomfort and maintain proper alignment.

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