Which of the following pre-operative assessments is essential for a patient scheduled for amputation?
Blood pressure measurement
Assessment of respiratory rate
Circulation assessment of the affected limb
Height and weight measurement
The Correct Answer is C
Circulation assessment of the affected limb is essential for a patient scheduled for amputation. This assessment helps identify any vascular issues or compromised blood flow to the limb, which can impact wound healing and increase the risk of post-operative complications. It is crucial to assess circulation to ensure the patient's safety during and after the amputation procedure.
a. Blood pressure measurement: While blood pressure measurement is a routine assessment, it is not specific to amputation and not directly related to preventing pre-operative complications.
b. Assessment of respiratory rate: Respiratory rate assessment is important for general health assessment, but it is not directly related to preventing complications specifically related to amputation.
d. Height and weight measurement: Height and weight measurement are important for general health assessment, but they are not directly related to preventing complications specifically related to amputation.
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Related Questions
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.
Correct Answer is B
Explanation
The priority nursing intervention in the immediate post-operative period for a patient who has undergone amputation is to assess the surgical incision for signs of infection. Infection is a common concern after surgery, and early detection and intervention are crucial to prevent complications and promote healing.
a. Administering pain medications as prescribed: Pain management is important for the patient's comfort and well-being, but it is not the priority nursing intervention immediately after amputation. Assessing the surgical incision for signs of infection takes precedence to prevent potential complications.
c. Applying a compression bandage to the residual limb: While compression bandages may be used as part of the post-operative care, they are not the priority intervention immediately after amputation. Ensuring the surgical site's integrity and preventing infection are more critical in the early post-operative period.
d. Providing emotional support and counseling: Emotional support and counseling are essential for the patient's overall well-being, but they are not the priority nursing intervention in the immediate post-operative period. The focus at this time is on physical assessment and early detection of any complications.
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