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A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:

A.

prevents bleeding and covers the incision.

B.

decreases phantom limb pain.

C.

limits the formation of blood clots.

D.

shapes the soft tissue and minimizes edema.

Answer and Explanation

The Correct Answer is D

A.    While wrapping the stump can help secure a dressing and protect the incision, the primary purpose of the elastic bandage is not to prevent bleeding. Instead, it helps to manage swelling and shape the residual limb.
B.    Phantom limb pain is a sensation where individuals feel pain in the area where the limb once was. While some patients report relief from phantom pain with various techniques, wrapping the stump is not specifically designed for this purpose. Other interventions are more effective for managing phantom limb pain.
C.    Elastic bandaging does not specifically limit the formation of blood clots in the context of an amputation stump. While proper limb positioning and movement can help prevent clot formation, the main purpose of the bandage is not related to clot prevention.
D.    The primary purpose of wrapping the stump with an elastic bandage is to shape the soft tissue and control edema (swelling). Proper compression helps reduce swelling, encourages the soft tissue to conform to the desired shape for fitting a prosthesis later, and aids in healing.
 


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Related Questions

Correct Answer is D

Explanation

A. This is a normal platelet count and is not directly related to DVT.
B. This is a normal PT result and does not indicate a clotting disorder that would predispose the client to DVT.
C. This is a normal aPTT result and does not indicate a clotting disorder that would predispose the client to DVT.
D. D-dimer is a marker of blood clot breakdown. An elevated D-dimer level suggests the presence of a blood clot, making it the most concerning laboratory result in this case.

Correct Answer is ["C","D","E"]

Explanation

A. Tamsulosin primarily affects urinary function and is not directly related to glucose metabolism or insulin action. It does not significantly contribute to hypoglycemic events.
B. While urinary retention can lead to discomfort and potential complications, it does not have a direct impact on blood glucose levels or increase the risk of hypoglycemia. However, if it results in increased stress or medication changes, it could indirectly affect glucose management.
C. Physical activity, such as jogging, can increase the risk of hypoglycemia in individuals with Type 1 diabetes, especially if they do not adjust their insulin or carbohydrate intake accordingly. Exercise can enhance insulin sensitivity and cause blood glucose levels to drop.
D. Alcohol can increase the risk of hypoglycemia, particularly in individuals with diabetes, because it can inhibit gluconeogenesis (the liver's ability to produce glucose). Drinking a significant amount of alcohol, especially without food, can lead to dangerously low blood sugar levels.
E. Metoprolol, a beta-blocker, can mask the symptoms of hypoglycemia (such as increased heart rate and tremors), making it more difficult for the individual to recognize when they are hypoglycemic. This can lead to delayed treatment and increased risk of severe hypoglycemia.

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