What is the purpose of elevation in the post-operative care of a patient with a lower extremity amputation?
To promote venous return and reduce swelling
To improve the patient's comfort and relaxation
To encourage early ambulation and mobility
To protect the surgical incision from contamination
The Correct Answer is A
The purpose of elevation in the post-operative care of a patient with a lower extremity amputation is to promote venous return and reduce swelling. Elevating the residual limb helps to decrease edema and improve blood flow, which can enhance healing and prevent complications such as deep vein thrombosis.
b. To improve the patient's comfort and relaxation: While elevation may improve the patient's comfort, the primary purpose is to address physiological concerns related to venous return and swelling.
c. To encourage early ambulation and mobility: Ambulation and mobility are essential components of post-operative care, but the specific purpose of elevation is not related to encouraging early ambulation.
d. To protect the surgical incision from contamination: While protecting the surgical incision is important, elevation is not the primary method for this purpose. Dressings and wound care techniques are used to protect the surgical site from contamination.
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Related Questions
Correct Answer is C
Explanation
Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications. It is important to address the underlying vascular issues to avoid the risk of gangrene and potential spread of infection.
a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.
b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.
d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.
Correct Answer is B
Explanation
The primary purpose of wound care in the post-operative period after 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. To prevent pressure ulcers and skin breakdown: While pressure ulcers and skin breakdown are important considerations in post-operative care, they are not the primary purpose of wound care specifically for amputation.
c. To remove 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. To apply 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 purpose of wound care for amputation.
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