What is the priority nursing intervention in the immediate post-operative period for a patient who has undergone amputation?
Administering pain medications as prescribed
Assessing the surgical incision for signs of infection
Applying a compression bandage to the residual limb
Providing emotional support and counseling
The Correct Answer is B
The priority nursing intervention in the immediate post-operative period for a patient who has undergone amputation is to assess the surgical incision for signs of infection. Infection is a common concern after surgery, and early detection and intervention are crucial to prevent complications and promote healing.
a. Administering pain medications as prescribed: Pain management is important for the patient's comfort and well-being, but it is not the priority nursing intervention immediately after amputation. Assessing the surgical incision for signs of infection takes precedence to prevent potential complications.
c. Applying a compression bandage to the residual limb: While compression bandages may be used as part of the post-operative care, they are not the priority intervention immediately after amputation. Ensuring the surgical site's integrity and preventing infection are more critical in the early post-operative period.
d. Providing emotional support and counseling: Emotional support and counseling are essential for the patient's overall well-being, but they are not the priority nursing intervention in the immediate post-operative period. The focus at this time is on physical assessment and early detection of any complications.
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Correct Answer is C
Explanation
The decision for amputation is complex and takes into account the patient's overall health status, goals, and preferences. Factors such as the extent of the disease or injury, the potential for rehabilitation, and the impact on the patient's quality of life are considered when determining the most appropriate treatment plan.
a. Patient's age and gender: While age and gender may be factors in the decision-making process, they are not the primary consideration for amputation. Each patient's case is evaluated individually based on their specific circumstances.
b. Healthcare provider's preference: The healthcare provider's preference alone does not dictate the decision for amputation. The decision should be made collaboratively between the patient, the healthcare team, and other specialists as needed.
d. Availability of advanced medical technology: While medical technology can play a role in the treatment and rehabilitation of amputees, it is not the primary consideration in the decision for amputation. The decision is primarily based on the patient's health and overall well-being.
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.
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