NCLEX-RN Exam Practice

Category - Substance Abuse

You are caring for a patient with a severe burn. The patient is scheduled to go to surgery for an autograft of the lower extremity. What should you include in the postoperative plan of care for this patient?
  1. Keep the surgical extremity flat.
  2. Keep a blanket over the extremity.
  3. Place the patient in prone position.
  4. Immobilize and elevate the extremity.
Explanation
Answer: D - The grafted extremity should be immobilized and elevated for three to seven days. This allows the graft time to adhere to the wound bed and decreases edema. All other options can disrupt the graft site.
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