For more than 78 additional continuing education articles related to surgery topics, go to Nursingcenter.com/CE.
Earn CE credit online: Go to http://www.nursingcenter.com/CE/ORnurse and receive a certificate within minutes.
INSTRUCTIONS Innovations in total hip arthroplasty
- To take the test online, go to our secure website at http://www.nursingcenter.com/ORnurse.
- On the print form, record your answers in the test answer section of the CE enrollment form on page 37. Each question has only one correct answer. You may make copies of these forms.
- Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4 Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is February 29, 2016.
DISCOUNTS and CUSTOMER SERVICE
- Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of ORNurse2014 journal, will award 2.3 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.3 contact hours.
Your certificate is valid in all states.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.
Innovations in total hip arthroplasty
General Purpose: To provide information on the advancement of total hip arthroplasty procedures. Learning Objectives: After reading the preceding article and taking this test, the reader should be able to: 1. Identify materials and techniques used in THA. 2. Select interventions to minimize postoperative complications after THA.
- Femoral stems are manufactured in all of the following materialsexcept
- cobalt-chromium alloy.
- Which statement is true regarding arthroplastic hip resurfacing?
- It's usually performed on older patients who are less mobile.
- It was approved by the FDA in the 1990s.
- It's generally performed on patients who want to continue a high level of activity.
- It's only performed using metal-on-polyethylene implants.
- Advantages and disadvantages of hip resurfacing include
- less range of motion.
- less risk of femoral neck fractures.
- an increased dislocation rate.
- smaller leg length discrepancy.
- The minimally invasive surgical incision for THA is approximately
- 2 in (5.1 cm).
- 4 in (10.2 cm).
- 6 in (15.2 cm).
- 8 in (20.3 cm).
- The posterolateral approach incision
- involves the hip capsule at its weakest area.
- decreases the risk of dislocation.
- reduces the need for postoperative hip precautions.
- is positioned over the posterior 1/2 of the lesser trochanter.
- Which surgical approach may be particularly beneficial for patients who have difficulty adhering to postoperative hip precautions?
- Modified Hardinge
- two-incision anterior
- one-incision anterior
- One complication with the two-incision anterior approach is
- more postoperative pain.
- longer recovery.
- nerve palsy.
- more soft tissue trauma.
- One option to prevent postoperative hip dislocation is a(n)
- smaller femoral head implant.
- metal acetabular liner.
- cross-linked chromium liner.
- elevated-rim polyethylene liner.
- The FDA recommendsnotusing metal-on-metal implants for people with
- renal insufficiency.
- peripheral arterial disease.
- cardiovascular disease.
- Compared to conventional polyethylene liner components, highly cross-linked polyethylene liners
- decrease the risk of osteolysis by 92%.
- show less wear.
- reduce the rate of dislocations.
- are linked to fewer incisional infections.
- A study conducted by Viscusi and colleagues showed that patients had significant pain relief for the first 48 hours after THA with which modality?
- an indwelling epidural catheter with morphine
- patient-controlled analgesia with hydromorphone
- an extended-release epidural morphine injection
- a periarticular intraoperative injection with multimodal pain drugs
- Platelet-rich plasma used during total knee surgery resulted in
- increased blood loss.
- increased Gram-positive bacterial infections.
- longer hospital stays.
- less need for postoperative pain medications.
- The drug of choice for VTE prevention is
- low-dose unfractionated heparin.
- vitamin K antagonists.
- low-molecular-weight heparin.
- The time frame for postoperative VTE preventive drugs has been expanded to up to
- 7 days.
- 10 days.
- 14 days.
- 35 days.
- The American College of Chest Physicians recommends the use of IPCDs
- 20 hours/day.
- in the hospital and upon return home.
- only in the hospital with graduated compression stockings used at home.
- at home after the discontinuation of antithrombotic drugs.
- In a 2010 Danish study, there was a lower risk of VTE in THA patients with
- rheumatoid arthritis.
- cardiovascular disease.
- a history of thromboembolism.
- Perioperative hypothermia can result in
- three times the incidence of surgical site infections.
- four times the risk of cardiac complications.
- less blood transfusions.
- decreased bleeding.
Lippincott Williams & Wilkins.