In which situation would amputation be considered as a lifesaving measure?
Severe diabetic neuropathy
Chronic obstructive pulmonary disease (COPD)
Bone fracture with non-union
Malignant bone tumor
The Correct Answer is A
In severe cases of diabetic neuropathy, where peripheral nerve damage leads to non-healing ulcers, infections, and gangrene, amputation may be considered as a lifesaving measure. Removing the affected limb can prevent the spread of infection and potentially save the patient's life.
b. Chronic obstructive pulmonary disease (COPD): COPD is a chronic respiratory condition that primarily affects the lungs. It is not an indication for amputation.
c. Bone fracture with non-union: A bone fracture with non-union refers to a fracture that fails to heal properly. While it may require surgical intervention, it does not typically lead to amputation unless there are severe complications.
d. Malignant bone tumor: Malignant bone tumors may require surgical resection, but amputation is usually a last resort and only considered when the tumor cannot be safely removed through other means.
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Related Questions
Correct Answer is C
Explanation
Assessing the patient's psychological readiness for surgery is essential to prevent potential complications in a patient scheduled for amputation. Pre-operative anxiety, fear, or emotional distress can impact the patient's overall well-being and affect their post-operative recovery. Identifying and addressing these concerns before the surgery is crucial to promote a positive surgical experience and improve outcomes.
a. Performing active range of motion exercises on the affected limb: While range of motion exercises may be beneficial in certain cases, this intervention is not specific to preventing pre-operative complications. Pre-operative exercises may be recommended in some cases to improve overall limb function, but they are not directly related to preventing complications.
b. Administering post-operative pain medications: Administering post-operative pain medications is a consideration after the surgery, not a pre-operative intervention. Pain management strategies are planned and implemented to address pain after the amputation.
d. Educating the patient about post-operative care and rehabilitation: Patient education about post-operative care and rehabilitation is vital, but it is not a pre-operative intervention to prevent complications. This education takes place before and after the surgery to prepare the patient for the recovery process.
Correct Answer is A
Explanation
Meticulous monitoring of wound drainage is important in the post-operative care of a patient who underwent amputation to assess for signs of infection. Excessive drainage, changes in color or odor, or the presence of pus may indicate an infection at the surgical site, and prompt intervention is essential to prevent complications.
b. To determine the need for wound irrigation: While wound irrigation may be part of wound care, monitoring wound drainage is primarily to assess for signs of infection, not to determine the need for wound irrigation.
c. To prevent pressure ulcers and skin breakdown: Monitoring wound drainage is not directly related to preventing pressure ulcers and skin breakdown. Preventing pressure ulcers involves measures such as repositioning and proper support surfaces.
d. To evaluate the effectiveness of pain management: Monitoring wound drainage does not directly evaluate the effectiveness of pain management. Pain management is assessed separately through communication with the patient and observation of their pain levels and response to interventions.
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