What is a potential pre-operative complication that may occur in a patient scheduled for amputation?
Infection at the amputation site
Post-operative pain management
Surgical wound dehiscence
Prosthetic fitting and training
The Correct Answer is A
Infection at the amputation site is a potential pre-operative complication that may occur before the actual surgery. The presence of infection at the surgical site can increase the risk of post-operative complications, delay the surgery, and affect wound healing. Proper pre-operative assessment and management of infections are crucial to ensure a successful amputation procedure.
b. Post-operative pain management: Post-operative pain management is a consideration after the surgery, not a pre-operative complication. It involves planning for pain relief strategies to provide comfort and promote healing after the amputation.
c. Surgical wound dehiscence: Surgical wound dehiscence refers to the separation or opening of the surgical wound, which can occur after the surgery, not before. Proper wound care and surgical techniques are essential to prevent wound dehiscence.
d. Prosthetic fitting and training: Prosthetic fitting and training are part of the post-operative care, not pre-operative complications. After the amputation, the patient will be evaluated for the appropriate prosthetic device, and training will be provided to adapt to using it effectively.
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Related Questions
Correct Answer is A
Explanation
Administering pre-operative antibiotics is essential to prevent post-operative infection in a patient undergoing amputation. Prophylactic antibiotics are often given before the surgical procedure to reduce the risk of infection at the surgical site and promote successful wound healing.
b. Providing pre-operative analgesia: Providing pre-operative analgesia is important for pain management, but it is not directly related to preventing post-operative infection.
c. Ensuring proper patient positioning: Ensuring proper patient positioning is crucial for the surgical procedure's success and patient safety, but it is not directly related to preventing post-operative infection.
d. Educating the patient about post-operative exercises: Patient education about post-operative exercises is important for rehabilitation, but it does not directly prevent post-operative infection. Proper wound care and infection prevention protocols are more relevant to reducing the risk of infection.
Correct Answer is D
Explanation
The priority nursing intervention in the immediate post-operative period after an upper extremity amputation is to assess the surgical incision for infection. Early detection of signs of infection, such as redness, swelling, warmth, or drainage, is crucial to prevent complications and promote healing.
a. Managing phantom limb pain: While managing phantom limb pain is important, it may not be the priority nursing intervention immediately after the surgery. Assessing the surgical incision for infection and monitoring for any complications take precedence.
b. Ensuring proper prosthetic fitting: Prosthetic fitting is essential for functional outcomes, but it may not be the priority in the immediate post-operative period. It is addressed during the rehabilitation phase.
c. Elevating the residual limb on a pillow: Elevating the residual limb on a pillow is typically recommended for lower extremity amputations to reduce edema and promote venous return, not for upper extremity amputations.
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