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Zorluk: OrtaBasic Care and Comfort

An older adult client is recovering on the surgical unit 48 hours after a right below-the-knee amputation. The nurse is updating the client's daily care plan. Which interventions should be included to promote comfort and prevent complications? Select all that apply.

  1. Wash the residual limb gently with mild soap and water, ensuring thorough drying.Cevap
  2. B
    Elevate the residual limb continuously on stacked pillows to manage edema.
  3. Position the client prone for 20 to 30 minutes several times a day.Cevap
  4. D
    Assign the unlicensed assistive personnel to evaluate the skin integrity around the incision.
  5. Provide prescribed oral analgesics approximately 30 minutes before physical therapy.Cevap
  6. F
    Document the client's sudden restlessness and confusion as a normal consequence of advanced age.

Cevap

The correct interventions are: washing the residual limb with mild soap and water, positioning the client prone several times a day, and providing analgesics before physical therapy.
The correct interventions focus on maintaining skin integrity through proper hygiene, preventing debilitating joint contractures via prone positioning, and ensuring adequate pain control prior to exertion, all of which are fundamental to basic care and comfort for an amputee.

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1
Analyze the client's specific clinical status and timeframe.
The client is an older adult, 48 hours post-below-the-knee amputation.
Timing post-surgery dictates which interventions are safe versus contraindicated.
2
Evaluate each intervention for safety, efficacy, and scope of practice.
Hygiene, prone positioning, and preemptive analgesia are safe and evidence-based. Continuous elevation, delegating assessments, and ignoring confusion are unsafe.
Nursing care must align with physiological principles, safety standards, and delegation laws.

Anahtar Kavram

Basic Care and Comfort Post-Amputation
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