What is a potential complication of amputation that may occur in the immediate post-operative period?

The appropriate method of positioning the residual limb in the post-operative period for a patient who underwent a below-the-knee amputation is to elevate the residual limb on a pillow. Elevating the limb helps reduce swelling and promotes venous return, which can enhance healing and prevent complications.

a. Keep the residual limb in a dependent position: Keeping the residual limb in a dependent position (hanging down) can impede venous return and increase swelling. It is not the recommended position for post-operative care.
b. Maintain the residual limb in a flexed position: Keeping the residual limb in a flexed position may increase pressure on the surgical site and hinder proper wound healing. A flexed position is not the recommended post-operative positioning for the residual limb.
d. Keep the residual limb in a neutral, flat position: While keeping the residual limb in a neutral, flat position is generally recommended for some post-operative care, elevating the limb on a pillow is preferred in the immediate post-operative period for below-the-knee amputation to reduce swelling and promote healing.

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.