Which nursing intervention is essential to prevent skin breakdown in a patient with a lower extremity amputation who is using a prosthetic device?
Applying a topical antibiotic to the residual limb daily
Massaging the residual limb with lotion to improve circulation
Inspecting the skin under the prosthetic device daily
Wearing a compression bandage over the prosthetic device
The Correct Answer is C
Inspecting the skin under the prosthetic device daily is essential to prevent skin breakdown and pressure ulcers. Continuous pressure and friction from the prosthetic device can cause skin irritation and breakdown, and early detection allows for timely intervention and prevention of complications.
a. Applying a topical antibiotic to the residual limb daily: Applying a topical antibiotic daily is not recommended unless specifically prescribed by the healthcare provider for a wound or infection. Routine use of topical antibiotics can lead to antibiotic resistance.
b. Massaging the residual limb with lotion to improve circulation: Massaging the residual limb with lotion may be beneficial for comfort, but it is not a preventive measure for skin breakdown. Excessive massage can cause skin irritation.
d. Wearing a compression bandage over the prosthetic device: While compression bandages may be used as part of post-operative care, wearing a compression bandage over the prosthetic device is not a standard preventive measure for skin breakdown.
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Related Questions
Correct Answer is B
Explanation
Acute compartment syndrome is a medical emergency where increased pressure within a muscle compartment compromises blood flow and can lead to tissue damage and permanent disability. In severe cases, where the condition is not relieved promptly, emergency amputation may be necessary to prevent further tissue damage and save the patient's life.
a. Acute appendicitis: Acute appendicitis is a condition involving inflammation of the appendix and typically requires surgical removal of the appendix (appendectomy) but not amputation.
c. Urinary tract infection: A urinary tract infection is a common infection that is not an indication for amputation. It is usually treated with antibiotics.
d. Minor laceration: A minor laceration does not require amputation. It can typically be treated with wound care and, if needed, sutures or adhesive strips.
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.
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