What pre-operative intervention is essential to prevent post-operative infection in a patient undergoing amputation?
Administering pre-operative antibiotics
Providing pre-operative analgesia
Ensuring proper patient positioning
Educating the patient about post-operative exercises
The Correct Answer is A
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.
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Correct Answer is B
Explanation
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.
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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