Which nursing intervention is essential for preventing complications in the immediate post-operative period after amputation?
Administering opioid pain medications regularly
Assessing the surgical incision for signs of infection
Encouraging the patient to perform active range of motion exercises
Providing emotional support and counseling
The Correct Answer is B
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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Correct Answer is C
Explanation
A physical therapist plays a critical role in the post-operative rehabilitation process for a patient who has undergone amputation. They work closely with the patient to help improve strength, mobility, and function, and assist them in adapting to the use of assistive devices and prosthetics.
a. Surgeon: The surgeon performs the amputation surgery but is not directly involved in post-operative rehabilitation. Their role is to ensure a safe and successful surgical procedure.
b. Anesthesiologist: The anesthesiologist is responsible for administering anesthesia during the surgery and ensuring the patient's comfort and safety. They are not directly involved in post-operative rehabilitation.
d. Radiologic technologist: Radiologic technologists perform medical imaging procedures but are not involved in the rehabilitation process for patients who have undergone amputation.
Correct Answer is D
Explanation
Identifying pre-existing medical conditions and allergies is essential to assess the risk of post-operative infection and complications in a patient scheduled for amputation. Certain medical conditions and allergies can impact wound healing and increase the risk of surgical complications. By knowing the patient's medical history and allergies, the healthcare team can take appropriate measures to prevent potential problems and improve the patient's overall surgical outcome.
a. To determine the patient's ability to perform post-operative exercises: While identifying pre-existing conditions may provide some insight into the patient's functional abilities, it is not the primary reason for identifying medical conditions and allergies in this context.
b. To identify potential complications during the surgical procedure: Identifying pre-existing conditions is not primarily for identifying potential complications during the surgery itself. Pre-operative assessments and evaluations are conducted to ensure the patient's safety during the surgical procedure.
c. To tailor the prosthetic fitting and training: Identifying pre-existing conditions and allergies can be relevant for prosthetic fitting and training, but it is not the primary reason for identifying them.
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