During a below-the-knee amputation, what is the primary focus of the surgical technique?
Preserving the ankle joint
Removing all muscles from the affected limb
Creating a cosmetic incision line
Resecting the tibia and fibula bones
The Correct Answer is A
During a below-the-knee amputation, the primary focus of the surgical technique is to preserve the ankle joint whenever possible. This allows for better functional outcomes and facilitates the use of a prosthetic device.
b. Removing all muscles from the affected limb: While some muscle tissue is removed during amputation, the goal is not to remove all muscles. Some muscles are retained to provide coverage over the bone stump and to facilitate prosthetic fitting.
c. Creating a cosmetic incision line: While cosmetic considerations may be taken into account, the primary focus of the surgical technique is not solely on creating a cosmetic incision line. The incision is made to ensure appropriate tissue healing and to prevent complications.
d. Resecting the tibia and fibula bones: In a below-the-knee amputation, the tibia and fibula bones are typically resected to the appropriate level to accommodate the prosthetic device, but the primary focus is on preserving the ankle joint when possible.
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Related Questions
Correct Answer is B
Explanation
The priority nursing intervention in the immediate post-operative period for a patient who has undergone amputation is to assess the surgical incision for signs of infection. Infection is a common concern after surgery, and early detection and intervention are crucial to prevent complications and promote healing.
a. Administering pain medications as prescribed: Pain management is important for the patient's comfort and well-being, but it is not the priority nursing intervention immediately after amputation. Assessing the surgical incision for signs of infection takes precedence to prevent potential complications.
c. Applying a compression bandage to the residual limb: While compression bandages may be used as part of the post-operative care, they are not the priority intervention immediately after amputation. Ensuring the surgical site's integrity and preventing infection are more critical in the early post-operative period.
d. Providing emotional support and counseling: Emotional support and counseling are essential for the patient's overall well-being, but they are not the priority nursing intervention in the immediate post-operative period. The focus at this time is on physical assessment and early detection of any complications.
Correct Answer is C
Explanation
Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications.
a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.
b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.
d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.
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