After a total hip arthroplasty, what is an essential nursing intervention to prevent complications?

Administering low-dose heparin is an essential nursing intervention after total hip arthroplasty to prevent complications, particularly venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE). Patients undergoing hip replacement surgery are at increased risk for VTE due to factors such as reduced mobility, inflammation, and surgical trauma. By administering low-dose heparin, a type of anticoagulant, healthcare providers can significantly reduce the risk of blood clots forming in the legs or traveling to the lungs.

This prophylactic measure helps maintain proper blood flow and circulation, counteracting the stasis that can occur after surgery. It is important for nurses to monitor the patient for signs of bleeding or adverse reactions to anticoagulation therapy while balancing the risks and benefits of such interventions.

In contrast, other options may have their roles in postoperative care, but they do not directly address the acute risk of VTE as effectively as anticoagulation. For instance, increasing patient mobility is vital but should be done carefully and progressively to avoid dislocation or injury. Encouraging high fluid intake is beneficial for overall hydration but does not directly prevent clot formation. Frequent position changes can enhance comfort and reduce the risk