Which healthcare team member plays a critical role in the post-operative rehabilitation process for a patient who has undergone amputation?
Surgeon
Anesthesiologist
Physical therapist
Radiologic technologist
The Correct Answer is C
A physical therapist plays a critical role in the post-operative rehabilitation process for a patient who has undergone amputation. They work closely with the patient to help improve strength, mobility, and function, and assist them in adapting to the use of assistive devices and prosthetics.
a. Surgeon: The surgeon performs the amputation surgery but is not directly involved in post-operative rehabilitation. Their role is to ensure a safe and successful surgical procedure.
b. Anesthesiologist: The anesthesiologist is responsible for administering anesthesia during the surgery and ensuring the patient's comfort and safety. They are not directly involved in post-operative rehabilitation.
d. Radiologic technologist: Radiologic technologists perform medical imaging procedures but are not involved in the rehabilitation process for patients who have undergone amputation.
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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.
Correct Answer is C
Explanation
Using sterile technique during wound dressing changes is important to prevent infection in a patient who underwent amputation. Sterile technique helps reduce the risk of introducing microorganisms into the wound, promoting healing and reducing the risk of complications.
a. Performing passive range of motion exercises regularly: Passive range of motion exercises may be appropriate at the appropriate time during the rehabilitation process but are not directly related to preventing infection.
b. Applying a compression bandage to the residual limb: Compression bandages may be used as part of post-operative care, but they are not the primary intervention to prevent infection.
d. Encouraging the patient to bear weight on the residual limb: Encouraging weight-bearing on the residual limb is part of the rehabilitation process but may not be appropriate immediately after amputation. It is not a direct measure to prevent infection.
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