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학습 자료 둘러보기 →For a client with a new total hip replacement, anticoagulation, and acute confusion, the immediate priority is fall prevention. A fall can cause a periprosthetic fracture or intracranial hemorrhage.
Implement a bed alarm, keep the bed in the lowest position, and provide frequent reorientation. Assess for reversible causes of confusion like hypoxia or urinary retention.
Do not attempt early ambulation until confusion clears and safety is ensured. A confused patient cannot follow weight-bearing precautions.
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