A nurse is caring for a client who is postoperative following a below-the knee-amputation and will soon undergo fitting for a leg prosthesis. Which of the following is an appropriate nursing intervention for this client at this time?
Wrap the residual limb with an elastic bandage in a figure-eight configuration.
Wrap the residual limb with an elastic bandage in a proximal-to-distal direction.
Remove the elastic bandage and re-wrap the residual limb once a day.
Secure the elastic bandage to the lowest joint.
The Correct Answer is A
A. Wrapping the residual limb in a figure-eight configuration provides compression and support, shaping the limb for prosthesis fitting, and promoting proper circulation.
B. Wrapping in a proximal-to-distal direction can restrict blood flow and does not provide the appropriate support needed for prosthetic shaping.
C. The bandage should be rewrapped more frequently than once a day to maintain compression and limb shape.
D. Securing the bandage at the lowest joint is inadequate as it may allow loosening and improper shaping of the residual limb.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. A weakened gag reflex is a possible complication due to impaired nerve function, increasing the risk of aspiration.
B. Polyuria is not typically associated with cervical spinal cord injuries.
C. Hypotension may occur due to neurogenic shock from impaired autonomic function following a cervical spinal cord injury.
D. Hyperthermia can develop if the injury affects thermoregulatory control.
E. Absence of bowel sounds may indicate paralytic ileus, a common complication in clients with spinal cord injuries.
Correct Answer is A
Explanation
A. Wrapping the residual limb in a figure-eight configuration provides compression and support, shaping the limb for prosthesis fitting, and promoting proper circulation.
B. Wrapping in a proximal-to-distal direction can restrict blood flow and does not provide the appropriate support needed for prosthetic shaping.
C. The bandage should be rewrapped more frequently than once a day to maintain compression and limb shape.
D. Securing the bandage at the lowest joint is inadequate as it may allow loosening and improper shaping of the residual limb.
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