The nurse is caring for a patient who had a below-the-elbow amputation. Which activity should the nurse encourage the patient to perform during the post-operative period to promote muscle strength and flexibility in the residual limb?
Lifting heavy weights with the residual limb
Performing active range of motion exercises
Keeping the residual limb immobile
Applying cold packs to the residual limb
The Correct Answer is B
Encouraging the patient to perform active range of motion exercises is important to promote muscle strength and flexibility in the residual limb after a below-the-elbow amputation. Active exercises engage the muscles and joints, preventing stiffness and maintaining function.
a. Lifting heavy weights with the residual limb: Lifting heavy weights with the residual limb may be contraindicated, especially in the immediate post-operative period, as it can strain the healing tissues and lead to injury.
c. Keeping the residual limb immobile: Keeping the residual limb immobile can lead to stiffness, weakness, and contractures. Active range of motion exercises are essential to maintain mobility and function.
d. Applying cold packs to the residual limb: Cold packs may be used for pain relief or to reduce swelling in the immediate post-operative period, but they are not specifically aimed at promoting muscle strength and flexibility in the residual limb. Active exercises are more appropriate for this purpose.
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Related Questions
Correct Answer is B
Explanation
The primary purpose of wound care in the post-operative period after amputation is to promote tissue regeneration and wound healing. Proper wound care techniques, including dressing changes, are essential to create an optimal environment for healing and prevent infection.
a. To prevent pressure ulcers and skin breakdown: While pressure ulcers and skin breakdown are important considerations in post-operative care, they are not the primary purpose of wound care specifically for amputation.
c. To remove all dressings to allow for air exposure: Dressings are typically used to protect the surgical site and promote healing by creating a moist wound environment. Removing all dressings for air exposure is not recommended as it can impede wound healing.
d. To apply topical antibiotics to the surgical site: While topical antibiotics may be used if there is an infection or as directed by the healthcare provider, applying them to the surgical site without proper indication can lead to antibiotic resistance and is not the primary purpose of wound care for amputation.
Correct Answer is A
Explanation
The primary goal of positioning the residual limb in the post-operative period after amputation is to promote venous return and reduce swelling. Elevating the limb helps improve blood flow and reduce edema, which can enhance healing and prevent complications.
b. To improve the patient's comfort and relaxation: While positioning may improve the patient's comfort, the primary goal is related to physiological considerations such as venous return and swelling reduction.
c. To encourage early ambulation and mobility: Early ambulation and mobility are important components of post-operative care, but the primary goal of positioning is not directly related to encouraging ambulation.
d. To protect the surgical incision from contamination: Positioning the residual limb is not primarily intended to protect the surgical incision from contamination. Dressings and wound care techniques are used for this purpose.
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