What is the primary purpose of wound care in the post-operative period after amputation?
To prevent pressure ulcers and skin breakdown
To promote tissue regeneration and wound healing
To remove all dressings to allow for air exposure
To apply topical antibiotics to the surgical site
The Correct Answer is B
The primary purpose of wound care in the post-operative period after amputation is to promote tissue regeneration and wound healing. Proper wound care techniques, including dressing changes, are essential to create an optimal environment for healing and prevent infection.
a. To prevent pressure ulcers and skin breakdown: While pressure ulcers and skin breakdown are important considerations in post-operative care, they are not the primary purpose of wound care specifically for amputation.
c. To remove all dressings to allow for air exposure: Dressings are typically used to protect the surgical site and promote healing by creating a moist wound environment. Removing all dressings for air exposure is not recommended as it can impede wound healing.
d. To apply topical antibiotics to the surgical site: While topical antibiotics may be used if there is an infection or as directed by the healthcare provider, applying them to the surgical site without proper indication can lead to antibiotic resistance and is not the primary purpose of wound care for amputation.
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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
Assessing the surgical incision for signs of infection is essential in the immediate post-operative period after amputation to detect any early signs of complications such as infection. Prompt identification and intervention can prevent further complications and promote healing.
a. Administering opioid pain medications regularly: While pain management is important after amputation, administering opioid pain medications regularly may lead to potential side effects and dependency. Pain medications should be given as needed and in response to the patient's pain level.
c. Encouraging the patient to perform active range of motion exercises: Active range of motion exercises may not be appropriate immediately after amputation due to wound healing and surgical site considerations. The focus in the immediate post-operative period is on wound care and monitoring.
d. Providing emotional support and counseling: Emotional support and counseling are essential for a patient who underwent amputation, but in the immediate post-operative period, the priority is on physical assessment and wound care.
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