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Zorluk: OrtaBasic Care and Comfort

During a shift at a rehabilitation center, a practical nurse is assigned to a client who had a right below-the-knee amputation two days ago. To promote physical mobility and prevent complications, which positioning strategy should the nurse implement?

  1. A
    Prop the right residual limb on pillows while the client rests on their back.
  2. B
    Keep the client seated in a chair for the majority of the shift to promote lung expansion.
  3. Assist the client to lie on their stomach for thirty minutes a few times throughout the day.Cevap
  4. D
    Position a rolled blanket beneath the right hip to actively encourage external rotation.

Cevap

The correct action is to assist the client to lie on their stomach (prone position) for thirty minutes a few times throughout the day.
The correct answer involves placing the client in a prone position for 20 to 30 minutes several times daily. This intervention is crucial because it fully extends the hip joint and stretches the flexor muscles, thereby preventing the development of a hip flexion contracture, which is a significant mobility complication following a lower extremity amputation.

Adım Adım Çözüm

1
Analyze the client's postoperative timeline.
The client is two days (48 hours) post-amputation.
Positioning interventions change significantly after the initial 24-hour period to shift focus from reducing swelling to maintaining mobility.
2
Identify the primary musculoskeletal risk at this stage of recovery.
The major risk is the development of a hip flexion contracture.
Prolonged sitting or elevation keeps the hip flexor muscles shortened and tightened.
3
Select the positioning strategy that directly counteracts this risk.
Assisting the client into a prone position.
Lying on the stomach fully extends the hip joint, effectively stretching the flexor muscles and preventing contracture formation.

Anahtar Kavram

Postoperative positioning and contracture prevention following a lower extremity amputation.
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Konular

Basic Care and Comfort

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