Practice Quiz

CRNE Canadian Registered Nurse

Category - Wellness

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Mattie, a known diabetic for more than 15 years, is scheduled for a below-the-knee amputation. A nurse prepares a care plan, consisting of post-operative interventions, for Mattie. Which of the following nursing interventions is the most appropriate during the first 24 hours after amputation?
  1. Elevate the stump itself to prevent reduce edema.
  2. Position the client in prone position.
  3. Elevate the foot of bed with the client flat on bed.
  4. Allow the stump to hang over the edge of bed.
Explanation
Answer: C - During the first 24 hours after amputation, the foot of bed is elevated with the client flat on the bed. This intervention prevents hip flexion contractures. To reduce edema, the stump itself should not be elevated. The client may be placed in prone position after 24 to 48 hours. Allowing the stump to hang over the edge of bed can cause edema.
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