What is the purpose of elevation in the post-operative care of a patient with a lower extremity amputation?
To promote venous return and reduce swelling
To improve the patient's comfort and relaxation
To encourage early ambulation and mobility
To protect the surgical incision from contamination
The Correct Answer is A
The purpose of elevation in the post-operative care of a patient with a lower extremity amputation is to promote venous return and reduce swelling. Elevating the residual limb helps to decrease edema and improve blood flow, which can enhance healing and prevent complications such as deep vein thrombosis.
b. To improve the patient's comfort and relaxation: While elevation may improve the patient's comfort, the primary purpose is to address physiological concerns related to venous return and swelling.
c. To encourage early ambulation and mobility: Ambulation and mobility are essential components of post-operative care, but the specific purpose of elevation is not related to encouraging early ambulation.
d. To protect the surgical incision from contamination: While protecting the surgical incision is important, elevation is not the primary method for this purpose. Dressings and wound care techniques are used to protect the surgical site from contamination.
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Related Questions
Correct Answer is A
Explanation
In severe cases of diabetic neuropathy, where peripheral nerve damage leads to non-healing ulcers, infections, and gangrene, amputation may be considered as a lifesaving measure. Removing the affected limb can prevent the spread of infection and potentially save the patient's life.
b. Chronic obstructive pulmonary disease (COPD): COPD is a chronic respiratory condition that primarily affects the lungs. It is not an indication for amputation.
c. Bone fracture with non-union: A bone fracture with non-union refers to a fracture that fails to heal properly. While it may require surgical intervention, it does not typically lead to amputation unless there are severe complications.
d. Malignant bone tumor: Malignant bone tumors may require surgical resection, but amputation is usually a last resort and only considered when the tumor cannot be safely removed through other means.
Correct Answer is A
Explanation
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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