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Zorluk: OrtaBasic Care and Comfort

While providing morning hygiene, a practical nurse is evaluating the comfort and body alignment of a client who underwent a left above-the-knee amputation 48 hours ago. To prevent a common joint complication associated with this surgery, which positioning technique is most appropriate for the nurse to implement?

  1. Assisting the client to lie flat on their abdomen for short intervals multiple times a dayCevap
  2. B
    Propping the residual limb continuously on a folded blanket while the client rests in bed
  3. C
    Encouraging the client to sit upright in a bedside armchair for prolonged periods
  4. D
    Securing a wedge cushion between the client's thighs to keep the legs spread apart

Cevap

The correct action is to assist the client to lie flat on their abdomen for short intervals multiple times a day.
Assisting the client into a prone position (lying flat on the abdomen) for 20 to 30 minutes several times a day is crucial after an above-the-knee amputation. This position fully extends the hip joint, helping to prevent hip flexion contractures that can severely impair future mobility and prosthetic fitting.

Adım Adım Çözüm

1
Identify the primary complication risk associated with an above-the-knee amputation.
The most common and debilitating positioning complication is a hip flexion contracture.
Surgical trauma and natural resting positions tend to pull the hip flexor muscles inward and upward.
2
Evaluate how different body positions affect the hip joint.
Sitting and elevating the limb flex the hip, whereas lying prone fully extends the hip joint.
Extension counteracts the tendency of the flexor muscles to shorten and tighten.
3
Select the intervention that promotes hip extension.
Lying flat on the abdomen is identified as the correct positioning strategy.
Prone positioning stretches the flexor muscles and maintains proper joint alignment.

Anahtar Kavram

Post-Amputation Positioning and Contracture Prevention
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Konular

Basic Care and Comfort

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