What is the priority nursing intervention in the immediate post-operative period for a patient who has undergone amputation?

Using sterile technique during wound dressing changes is important to prevent infection in a patient who underwent amputation. Sterile technique helps reduce the risk of introducing microorganisms into the wound, promoting healing and reducing the risk of complications.

a. Performing passive range of motion exercises regularly: Passive range of motion exercises may be appropriate at the appropriate time during the rehabilitation process but are not directly related to preventing infection.
b. Applying a compression bandage to the residual limb: Compression bandages may be used as part of post-operative care, but they are not the primary intervention to prevent infection.
d. Encouraging the patient to bear weight on the residual limb: Encouraging weight-bearing on the residual limb is part of the rehabilitation process but may not be appropriate immediately after amputation. It is not a direct measure to prevent infection.

The primary purpose of positioning the residual limb in a flexed position after a below-the-knee amputation is to prevent contractures. Contractures are abnormal shortening and tightening of muscles and tendons, leading to restricted joint movement. Maintaining the limb in a flexed position helps prevent contractures and ensures optimal prosthetic fitting and functional outcomes.

b. To promote venous return: While positioning the limb in a flexed position may have some impact on venous return, it is not the primary purpose of this positioning. Elevating the limb on a pillow is more effective for promoting venous return.
c. To reduce edema: Keeping the residual limb elevated on a pillow is the preferred method for reducing edema in the immediate post-operative period, not positioning it in a flexed position.
d. To facilitate wound healing: Facilitating wound healing is not the primary purpose of positioning the residual limb in a flexed position. Proper wound care, dressing changes, and monitoring for signs of infection are essential for wound healing.