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Zorluk: OrtaBasic Care and Comfort

A practical nurse is caring for a client in a rehabilitation facility who is 48 hours postoperative following a right below-the-knee amputation. To prevent flexion contractures, which of the following positioning strategies should the nurse implement?

  1. Place the client in a prone position for 20 to 30 minutes several times a day.Cevap
  2. B
    Elevate the residual limb continuously on two pillows while the client is resting in bed.
  3. C
    Encourage the client to sit upright in a bedside chair for the majority of the day.
  4. D
    Maintain the client in a supine position with the knee of the residual limb resting in a flexed state.

Cevap

Place the client in a prone position for 20 to 30 minutes several times a day.
Following a lower extremity amputation, placing the client in a prone position for 20 to 30 minutes several times a day is the correct standard of basic care. This specific position extends and stretches the flexor muscles of the hip and knee, preventing the development of flexion contractures. Preventing these contractures is essential because they are a major complication that can permanently inhibit the proper fitting and use of a prosthetic device.

Adım Adım Çözüm

1
Identify the time elapsed since the surgery (48 hours) and the specific complication to prevent (flexion contractures).
After the first 24 postoperative hours, the primary clinical focus shifts from edema prevention to contracture prevention.
Understanding the timeline is critical because basic care and positioning rules for amputations change significantly after the first 24 hours.
2
Evaluate the anatomical impact of each positioning strategy on the client's hip and knee joints.
Prone positioning physically stretches the hip flexor muscles, preventing them from tightening and shortening.
Flexion contractures can severely impair the client's future ability to be fitted for and successfully use a prosthetic limb.

Anahtar Kavram

Postoperative Positioning and Contracture Prevention for Amputations
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Konular

Basic Care and Comfort

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