The nurse is caring for a patient who underwent an above-the-knee amputation. What is the priority nursing intervention to prevent hip flexion contractures?
Performing passive range of motion exercises to the hip joint
Elevating the residual limb on a pillow
Administering analgesics as prescribed
Providing emotional support and counseling
The Correct Answer is A
The priority nursing intervention to prevent hip flexion contractures after an above-the-knee amputation is performing passive range of motion exercises to the hip joint. Contractures are abnormal shortening and tightening of muscles and tendons, leading to restricted joint movement. Passive range of motion exercises help maintain joint flexibility and prevent contractures.
b. Elevating the residual limb on a pillow: Elevating the residual limb on a pillow is more applicable for preventing swelling and edema, not specifically for preventing hip flexion contractures.
c. Administering analgesics as prescribed: While pain management is essential for the patient's comfort, it is not directly related to preventing hip flexion contractures.
d. Providing emotional support and counseling: Emotional support and counseling are important aspects of care but are not directly related to preventing hip flexion contractures.
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Related Questions
Correct Answer is B
Explanation
Acute compartment syndrome is a medical emergency where increased pressure within a muscle compartment compromises blood flow and can lead to tissue damage and permanent disability. In severe cases, where the condition is not relieved promptly, emergency amputation may be necessary to prevent further tissue damage and save the patient's life.
a. Acute appendicitis: Acute appendicitis is a condition involving inflammation of the appendix and typically requires surgical removal of the appendix (appendectomy) but not amputation.
c. Urinary tract infection: A urinary tract infection is a common infection that is not an indication for amputation. It is usually treated with antibiotics.
d. Minor laceration: A minor laceration does not require amputation. It can typically be treated with wound care and, if needed, sutures or adhesive strips.
Correct Answer is C
Explanation
Circulation assessment of the affected limb is essential for a patient scheduled for amputation. This assessment helps identify any vascular issues or compromised blood flow to the limb, which can impact wound healing and increase the risk of post-operative complications. It is crucial to assess circulation to ensure the patient's safety during and after the amputation procedure.
a. Blood pressure measurement: While blood pressure measurement is a routine assessment, it is not specific to amputation and not directly related to preventing pre-operative complications.
b. Assessment of respiratory rate: Respiratory rate assessment is important for general health assessment, but it is not directly related to preventing complications specifically related to amputation.
d. Height and weight measurement: Height and weight measurement are important for general health assessment, but they are not directly related to preventing complications specifically related to amputation.
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