ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

The nurse includes the important measures for stump care in the teaching plan for a client with an amputation. Which measure would be excluded from the teaching plan?
  1. Wash, dry, and inspect the stump daily
  2. Treat superficial abrasions and blisters promptly
  3. Apply a “shrinker” bandage with tighter arms around the proximal end of the affected limb
  4. Toughen the stump by pushing it against a progressively harder substance (e.g., pillow on a foot-stool)
Explanation
Answer - C - Apply a "shrinker" bandage with tighter arms around the proximal end of the affected limb. The “shrinker” bandage is applied to prevent swelling of the stump. It should be applied at the distal end with the tighter arms. Applying the tighter arms at the proximal end will impair circulation and cause swelling by reducing venous flow.
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