Which nursing intervention is important to prevent infection in a patient who underwent amputation?
Performing passive range of motion exercises regularly
Applying a compression bandage to the residual limb
Using sterile technique during wound dressing changes
Encouraging the patient to bear weight on the residual limb
The Correct Answer is C
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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Correct Answer is A
Explanation
Infection at the amputation site is a potential pre-operative complication that may occur before the actual surgery. The presence of infection at the surgical site can increase the risk of post-operative complications, delay the surgery, and affect wound healing. Proper pre-operative assessment and management of infections are crucial to ensure a successful amputation procedure.
b. Post-operative pain management: Post-operative pain management is a consideration after the surgery, not a pre-operative complication. It involves planning for pain relief strategies to provide comfort and promote healing after the amputation.
c. Surgical wound dehiscence: Surgical wound dehiscence refers to the separation or opening of the surgical wound, which can occur after the surgery, not before. Proper wound care and surgical techniques are essential to prevent wound dehiscence.
d. Prosthetic fitting and training: Prosthetic fitting and training are part of the post-operative care, not pre-operative complications. After the amputation, the patient will be evaluated for the appropriate prosthetic device, and training will be provided to adapt to using it effectively.
Correct Answer is A
Explanation
The primary goal of positioning the residual limb in the post-operative period after amputation is to promote venous return and reduce swelling. Elevating the limb helps improve blood flow and reduce edema, which can enhance healing and prevent complications.
b. To improve the patient's comfort and relaxation: While positioning may improve the patient's comfort, the primary goal is related to physiological considerations such as venous return and swelling reduction.
c. To encourage early ambulation and mobility: Early ambulation and mobility are important components of post-operative care, but the primary goal of positioning is not directly related to encouraging ambulation.
d. To protect the surgical incision from contamination: Positioning the residual limb is not primarily intended to protect the surgical incision from contamination. Dressings and wound care techniques are used for this purpose.
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