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NCLEX-PN

Category - Reduction of Risk

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A client is admitted to the unit after a below-the-knee amputation. Which of the following actions of the nurse during the first 24 hours is the most effective in preventing complications?

Elevating the foot of the bed
Elevating the head of the bed
Elevating the stump
Client is assisted in prone position

Explanation

Answer: A - During the first 24, the nurse should elevate the foot of the bed to minimize edema. The stump is not elevated. Elevating the stump during the first 24 hours can result in contractures of the involved hip joint.

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