A nurse is preparing to administer amikacin 5 mg/kg IM every 8 hr to a client. The client weighs 70.8 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A. Elevates the client's legs before applying the stockings: Elevating the legs helps reduce venous pressure and promotes venous return, making it easier to apply the antiembolic stockings without causing constriction or discomfort. This step ensures the stockings fit smoothly and function effectively to prevent deep vein thrombosis.

B. Instructs the client to dorsiflex their feet while applying the stockings: While dorsiflexion exercises help stimulate circulation once the stockings are in place, instructing the client to dorsiflex during application is unnecessary and does not facilitate proper placement of the stockings.

C. Massages the client's legs before applying the stockings: Massaging the legs prior to applying stockings is contraindicated because it can dislodge a thrombus in clients at risk for deep vein thrombosis, potentially leading to a pulmonary embolism.

D. Folds the top of the stockings over after applying them: Folding the top of antiembolic stockings can create constriction, impair circulation, and reduce the stockings’ effectiveness. Stockings should be applied smoothly without wrinkles or folds to ensure uniform pressure and safety.

A. Keep initial pressure dressing in place for 1 week after surgery: The initial post-amputation dressing is usually removed or changed within 24–48 hours under surgical guidance to monitor for bleeding, infection, and proper healing. Leaving it for a full week can increase the risk of complications.

B. Leave the prosthesis in place when going to bed: Prostheses should be removed at night to allow the residual limb to rest, prevent skin breakdown, and reduce pressure-related injuries. Continuous wear can compromise skin integrity and comfort.

C. Avoid extension of the hips when lying down: After an above-the-knee amputation, clients are encouraged to extend the hips periodically to prevent flexion contractures. Avoiding hip extension could contribute to joint stiffness and functional limitations.

D. Clean the prosthesis using a damp, soapy cloth: Proper cleaning of the prosthesis with a damp, mild-soap cloth helps maintain hygiene, prevents odor and bacterial growth, and preserves the integrity of the device. Regular cleaning is essential for long-term prosthesis use and skin health.