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Zorluk: OrtaBasic Care and Comfort

A client who underwent a right above-the-knee amputation 48 hours ago reports lower back stiffness and requests assistance with repositioning. Which action should the practical nurse take to promote comfort and prevent postoperative complications?

  1. A
    Support the residual limb in a continuously elevated position using stacked pillows.
  2. Assist the client to turn onto their abdomen for 20 to 30 minutes.Cevap
  3. C
    Maintain the head of the bed in a high Fowler's position to stretch the lumbar spine.
  4. D
    Position a trochanter roll along the inner aspect of the affected thigh to maintain alignment.

Cevap

Assist the client to turn onto their abdomen for 20 to 30 minutes.
Assisting the client into a prone position for 20 to 30 minutes several times a day helps stretch the hip flexor muscles. This therapeutic position prevents hip flexion contractures, which are a major complication following an above-the-knee amputation, while simultaneously relieving the lower back stiffness caused by prolonged supine positioning.

Adım Adım Çözüm

1
Assess the client's postoperative timeline and current positioning needs.
The client is 48 hours post-amputation and requires relief from back stiffness.
Understanding the time elapsed since surgery dictates which positioning interventions are safe and therapeutic.
2
Identify the primary complication associated with above-the-knee amputations.
Hip flexion contractures are a major risk that can hinder future prosthetic use.
Preventive care is a core component of basic nursing interventions.
3
Select the position that relieves back tension while counteracting hip flexion.
The prone position is selected and implemented.
Lying prone extends the hip joint fully, combating the continuous flexion experienced when sitting or lying supine.

Anahtar Kavram

Postoperative positioning for amputation to prevent contractures
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Konular

Basic Care and Comfort

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