A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?
Encourage the patient to bear weight on the residual limb to promote early ambulation.
Apply a tight compression bandage to the residual limb to promote circulation.
Assess the residual limb for signs of hemorrhage or poor circulation.
Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.
The Correct Answer is C
Choice A rationale
Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.
Choice B rationale
Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.
Choice C rationale
Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.
Choice D rationale
Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31"]
Explanation
Step 1 is: Convert hours to minutes: 8 hours × 60 minutes/hour = 480 minutes.
Step 2 is: Calculate the drops/minute: (1000 mL ÷ 480 minutes) × 15 gtts/mL.
Step 3 is: Perform the division: 1000 mL ÷ 480 minutes ≈ 2.0833 mL/min.
Step 4 is: Perform the multiplication: 2.0833 mL/min × 15 gtts/mL ≈ 31.25 drops/min.
Step 5 is: Round the answer to the nearest whole number: 31 drops/min.
Final calculated answer: 31 drops/min.
Correct Answer is C
Explanation
Choice A rationale
Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.
Choice B rationale
Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.
Choice C rationale
Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.
Choice D rationale
Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .
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