Which assessment finding indicates a possible complication of a below-the-knee amputation?
Increased swelling and bruising of the residual limb
Mild tenderness and discomfort at the surgical site
Gradual decrease in phantom limb pain over time
Resumption of normal daily activities with a prosthetic limb
The Correct Answer is A
Increased swelling and bruising of the residual limb after a below-the-knee amputation may indicate a possible complication such as hematoma formation or poor wound healing. It requires further assessment and intervention by the healthcare team.
b. Mild tenderness and discomfort at the surgical site: Mild tenderness and discomfort are common after surgery and may be expected in the post-operative period. As long as the pain is manageable and not worsening, it is not necessarily an indication of a significant complication.
c. Gradual decrease in phantom limb pain over time: Phantom limb pain may gradually decrease over time as the nerve endings adapt to the amputation, and the brain's perception of the missing limb changes. This finding is a normal part of the post-amputation process and is not typically a complication.
d. Resumption of normal daily activities with a prosthetic limb: Resuming normal daily activities with a prosthetic limb is a positive outcome and a sign of successful rehabilitation and adaptation to the prosthesis. It is not indicative of a complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Assessing the patient's psychological readiness for surgery is essential to prevent potential complications in a patient scheduled for amputation. Pre-operative anxiety, fear, or emotional distress can impact the patient's overall well-being and affect their post-operative recovery. Identifying and addressing these concerns before the surgery is crucial to promote a positive surgical experience and improve outcomes.
a. Performing active range of motion exercises on the affected limb: While range of motion exercises may be beneficial in certain cases, this intervention is not specific to preventing pre-operative complications. Pre-operative exercises may be recommended in some cases to improve overall limb function, but they are not directly related to preventing complications.
b. Administering post-operative pain medications: Administering post-operative pain medications is a consideration after the surgery, not a pre-operative intervention. Pain management strategies are planned and implemented to address pain after the amputation.
d. Educating the patient about post-operative care and rehabilitation: Patient education about post-operative care and rehabilitation is vital, but it is not a pre-operative intervention to prevent complications. This education takes place before and after the surgery to prepare the patient for the recovery process.
Correct Answer is A
Explanation
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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