Which assessment finding indicates a possible complication of a below-the-knee amputation?
Increased swelling and bruising of the residual limb
Mild tenderness and discomfort at the surgical site
Gradual decrease in phantom limb pain over time
Resumption of normal daily activities with a prosthetic limb
The Correct Answer is A
Increased swelling and bruising of the residual limb after a below-the-knee amputation may indicate a possible complication such as hematoma formation or poor wound healing. It requires further assessment and intervention by the healthcare team.
b. Mild tenderness and discomfort at the surgical site: Mild tenderness and discomfort are common after surgery and may be expected in the post-operative period. As long as the pain is manageable and not worsening, it is not necessarily an indication of a significant complication.
c. Gradual decrease in phantom limb pain over time: Phantom limb pain may gradually decrease over time as the nerve endings adapt to the amputation, and the brain's perception of the missing limb changes. This finding is a normal part of the post-amputation process and is not typically a complication.
d. Resumption of normal daily activities with a prosthetic limb: Resuming normal daily activities with a prosthetic limb is a positive outcome and a sign of successful rehabilitation and adaptation to the prosthesis. It is not indicative of a complication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Inspecting the skin under the prosthetic device daily is essential to prevent skin breakdown and pressure ulcers. Continuous pressure and friction from the prosthetic device can cause skin irritation and breakdown, and early detection allows for timely intervention and prevention of complications.
a. Applying a topical antibiotic to the residual limb daily: Applying a topical antibiotic daily is not recommended unless specifically prescribed by the healthcare provider for a wound or infection. Routine use of topical antibiotics can lead to antibiotic resistance.
b. Massaging the residual limb with lotion to improve circulation: Massaging the residual limb with lotion may be beneficial for comfort, but it is not a preventive measure for skin breakdown. Excessive massage can cause skin irritation.
d. Wearing a compression bandage over the prosthetic device: While compression bandages may be used as part of post-operative care, wearing a compression bandage over the prosthetic device is not a standard preventive measure for skin breakdown.
Correct Answer is C
Explanation
The decision for amputation is complex and takes into account the patient's overall health status, goals, and preferences. Factors such as the extent of the disease or injury, the potential for rehabilitation, and the impact on the patient's quality of life are considered when determining the most appropriate treatment plan.
a. Patient's age and gender: While age and gender may be factors in the decision-making process, they are not the primary consideration for amputation. Each patient's case is evaluated individually based on their specific circumstances.
b. Healthcare provider's preference: The healthcare provider's preference alone does not dictate the decision for amputation. The decision should be made collaboratively between the patient, the healthcare team, and other specialists as needed.
d. Availability of advanced medical technology: While medical technology can play a role in the treatment and rehabilitation of amputees, it is not the primary consideration in the decision for amputation. The decision is primarily based on the patient's health and overall well-being.
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