Which of the following is a common indication for amputation?
Chronic low back pain
Osteoarthritis of the knee
Peripheral vascular disease
Minor soft tissue injury
The Correct Answer is C
Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications.
a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.
b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.
d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.
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 B
Explanation
Transmetatarsal amputation involves the surgical removal of the forefoot and toes while preserving the heel and ankle joint. It is commonly used for below-the-knee amputations, specifically for conditions that affect the toes and forefoot but spare the ankle joint.
a. Hip disarticulation: Hip disarticulation is a higher-level amputation that involves the removal of the entire lower limb at the hip joint. It is not commonly used for below-the-knee amputations.
c. Above-the-knee amputation: Above-the-knee amputation involves the removal of the entire lower limb above the knee joint. It is not used for below-the-knee amputations.
d. Syme amputation: Syme amputation involves the removal of the foot at the ankle joint while preserving the heel pad. It is used for specific conditions affecting the foot and ankle joint but is not a common choice for below-the-knee amputations.
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