A practical nurse is providing basic care for a client who is 48 hours postoperative following a right above-the-knee amputation (AKA). The client reports muscle spasms and discomfort in the affected limb. Which of the following nursing actions should the nurse implement to promote comfort and prevent complications? Select all that apply.
- Assist the client into a prone position for 20 to 30 minutes several times a day.Answer
- BElevate the right residual limb on a pillow while the client is resting in bed.
- Wrap the residual limb with an elastic compression bandage using a figure-eight pattern.Answer
- DEncourage the client to sit upright in a bedside chair for 4 continuous hours daily.
- Place a trochanter roll alongside the outer aspect of the right thigh and hip.Answer
Answer
The correct actions are to assist the client into a prone position, wrap the limb with an elastic compression bandage using a figure-eight pattern, and place a trochanter roll alongside the outer aspect of the hip.
After a lower extremity amputation, preventing hip flexion contractures and managing edema are critical priorities for the practical nurse. Assisting the client into a prone position extends the hip joint and stretches flexor muscles. Applying a figure-eight compression bandage minimizes swelling, reduces spasm-related pain, and shapes the limb. Using a trochanter roll prevents improper external rotation of the affected leg, ensuring comfortable and correct anatomical alignment.
Step-by-Step Solution
Key Concept
Postoperative positioning and comfort measures for lower extremity amputation