An older adult client is 48 hours postoperative following a right below-the-knee amputation. The client requests assistance with morning hygiene and reports a dull, aching sensation in the missing lower right leg. Which basic care and comfort measures should the practical nurse implement? Select all that apply.
- Assist the client into a prone position for 20 to 30 minutes multiple times a day.Cevap
- BElevate the residual limb continuously on a pillow while resting in bed.
- Wash the intact skin around the residual limb gently with mild soap and warm water.Cevap
- DEncourage the client to sit upright in a bedside chair for four hours to build stamina.
- Guide the client through active range-of-motion exercises for the unaffected extremities.Cevap
- FInform the client that the aching sensation is imaginary because the lower leg is removed.
Cevap
The correct interventions are assisting the client into a prone position periodically, washing the intact skin of the residual limb with mild soap, and guiding the client through active range-of-motion exercises for the unaffected extremities.
The correct basic care measures focus on preventing complications and promoting comfort. Assisting the client into a prone position several times a day prevents hip flexion contractures, which are a major risk following an amputation. Gentle hygiene of the intact skin around the residual limb maintains skin integrity and promotes comfort. Additionally, guiding the client through active range-of-motion exercises for unaffected extremities preserves the mobility and strength required for future rehabilitation.
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Postoperative Basic Care and Comfort for Amputation