What is a potential complication of amputation that may occur in the immediate post-operative period?
Phantom limb pain
Delayed wound healing
Hypertrophic scarring
Contractures
The Correct Answer is B
Delayed wound healing is a potential complication that may occur in the immediate post-operative period following amputation. Factors such as poor circulation, infection, or underlying health conditions can contribute to delayed healing of the surgical wound.
a. Phantom limb pain: Phantom limb pain is a sensation of pain, discomfort, or other sensations in the absent limb, but it is not typically an immediate post-operative complication. It may develop later as the nerve endings undergo reorganization.
c. Hypertrophic scarring: Hypertrophic scarring refers to excessive and raised scar tissue formation at the surgical site. While it can occur after amputation, it is not typically an immediate post-operative complication.
d. Contractures: Contractures are abnormal shortening and tightening of muscles and tendons, leading to restricted joint movement. While contractures can develop in the post-operative period, they are not usually immediate complications.
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Related Questions
Correct Answer is B
Explanation
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.
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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