What is the primary goal of wound care in the post-operative period for a patient who underwent amputation?
Preventing pressure ulcers and skin breakdown
Promoting tissue regeneration and wound healing
Removing all dressings to allow for air exposure
Applying topical antibiotics to the surgical site
The Correct Answer is B
The primary goal of wound care in the post-operative period for a patient who underwent 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. Preventing pressure ulcers and skin breakdown: While pressure ulcers and skin breakdown are important considerations in post-operative care, they are not the primary goal of wound care specifically for amputation.
c. Removing 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. Applying 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 goal of wound care for amputation.
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Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
Delayed wound healing is a common complication that may occur in the immediate post-operative period after 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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