A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation

  • School West Coast University, Orange County
  • Course Title NURSING 480
  • Pages 14
  • Ratings 100% (15) 15 out of 15 people found this document helpful

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51.A nurse is caring for a client who is 2 days postoperative following a below-the-kneeamputation and asks about the purpose of maintaining an elastic bandage around the residuallimb of the extremity. Which of the following is an appropriate response by the nurse?a.“the elastic bandage will prevent a post-op wound infection”b.“the elastic bandage will prevent excessive edema”c.“the elastic bandage will keep the sutures from loosening”d.“the elastic bandage will keep you from seeing the surgical site”

52.A nurse is planning care for a client who is 8 hour post-op following a coronary artery bypassgrafting. Which of the following assessments should the nurse plan to perform first?

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53.A nurse is providing instructions to a client who has primary syphilis. Which of the followinginstructions should the nurse include in the discharge plan?

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b.“you will need to take an antiviral medication for 6 months”c.“you will need 3 follow-up blood tests within 24 month period”d.“you will need to be monitored for 15 minutes after receiving each medication dose”54.A nurse is caring for a client who has hypotension, cool clammy skin, tachycardia, andtachypnea. In which of the following positions should the nurse place the client?

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55.A nurse is teaching a client how to use a quad cane for ambulation following a right-hemispheric stroke. Which of the following client actions indicates an understanding of theteaching?a.Client takes a step before advancing the caneb.Client holds the cane with the left handc.Client moves the cane 2 feet aheadd.Client advances the weaker leg forward first

56.A nurse is providing discharge teaching for a client who has new tracheostomy. Which of thefollowing statements by the client indicates an understanding of the teaching?

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Tags

Bradycardia, Urinary catheterization, following actions

What happens after below the knee amputation?

Your doctor removed the leg while keeping as much healthy bone, skin, blood vessel, and nerve tissue as possible. After the surgery, you will probably have bandages, a rigid dressing, or a cast over the remaining part of your leg (remaining limb). The leg may be swollen for at least 4 weeks after your surgery.

How do you care for a below the knee amputation?

Care for your residual limb:.
Clean and care for your skin. When you are allowed to bathe, gently wash around the incision with soap and water. ... .
Prevent infection. Wash your hands before you touch your wound. ... .
Help your residual limb heal. Push the residual limb against a soft pillow..

What should you monitor after amputation?

Assess the surgical dressing for integrity and drainage. Elevate the stump for the first 24 to 48 hours. Move and turn the patient gently and slowly to prevent severe muscle spasms. Reposition the patient every 2 hours, turning the patient from side to side and prone, if possible.

Which nursing action should a nurse take for a client who has undergone amputation?

Answer: 3 Rationale: If the client with an amputation has a cast or elastic compression bandage that slips off, the nurse must wrap the residual limb immediately with another elastic compression bandage. Otherwise, excessive edema will form rapidly, which could cause a significant delay in rehabilitation.