Why is it important to identify pre-existing medical conditions and allergies in a patient scheduled for amputation?

To determine the patient's ability to perform post-operative exercises

To identify potential complications during the surgical procedure

To tailor the prosthetic fitting and training

To assess the risk of post-operative infection and complications

Answer and Explanation

The Correct Answer is D

Identifying pre-existing medical conditions and allergies is essential to assess the risk of post-operative infection and complications in a patient scheduled for amputation. Certain medical conditions and allergies can impact wound healing and increase the risk of surgical complications. By knowing the patient's medical history and allergies, the healthcare team can take appropriate measures to prevent potential problems and improve the patient's overall surgical outcome.

a. To determine the patient's ability to perform post-operative exercises: While identifying pre-existing conditions may provide some insight into the patient's functional abilities, it is not the primary reason for identifying medical conditions and allergies in this context.
b. To identify potential complications during the surgical procedure: Identifying pre-existing conditions is not primarily for identifying potential complications during the surgery itself. Pre-operative assessments and evaluations are conducted to ensure the patient's safety during the surgical procedure.
c. To tailor the prosthetic fitting and training: Identifying pre-existing conditions and allergies can be relevant for prosthetic fitting and training, but it is not the primary reason for identifying them.

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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.

A. Hip disarticulation B. Transmetatarsal amputation C. Above-the-knee amputation D. Syme amputation

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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Why is it important to identify pre-existing medical conditions and allergies in a patient scheduled for amputation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which pre-operative intervention is essential to prevent potential complications in a patient scheduled for amputation?

Correct Answer is C

Explanation

Which surgical technique is commonly used for below-the-knee amputations?

Correct Answer is B

Explanation

The nurse is providing education to a patient who will undergo an upper extremity amputation. What should the nurse emphasize as the priority nursing intervention in the immediate post-operative period?

Which assessment finding indicates a possible complication of a below-the-knee amputation?

Why is meticulous monitoring of wound drainage important in the post-operative care of a patient who underwent amputation?

Which complication of amputation may result in the need for revision surgery?

The nurse is caring for a patient who had a below-the-elbow amputation. Which activity should the nurse encourage the patient to perform during the post-operative period to promote muscle strength and flexibility in the residual limb?

What is a potential complication of amputation that may occur in the immediate post-operative period?

What pre-operative intervention is essential to prevent post-operative infection in a patient undergoing amputation?

The nurse is caring for a patient who underwent an above-the-knee amputation. What is the priority nursing intervention to prevent hip flexion contractures?