amputation

Wrapping with elastic bandages can also be effective in reducing edema, shrinking the limb, and holding the wound dressing in place. For wrapping to be effective, reapply the bandages every 4 to 6 hours or more often if they become loose.

• true

• false

Which major situational occurrences might lead to amputations? 

• Trauma

• Disease

• carelessness

• congenital defects

A patient with peripheral vascular disease (PVD) and diabetes ask what he can do to help prevent amputation. What is the best response of the nurse?

• There is not really anything you can do to help.

• Stopping smoking would help prevent vasoconstriction.

• You will not need to check your blood glucose levels.

• It is important to eat big meals so your body can heal.

What is phantom limb pain?

• Pain felt in an area near to amputated limb.

• Pain felt in an area that has been amputated.

• Pain felt in the opposite amputated body part.

What should a nurse consider when selecting possible nursing diagnoses for a 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-the-knee amputation? 

• Anxiety, related to knowledge deficit of procedure

• Disturbed body image, related to loss of body part

• Disturbed self-image, related to loss of independence

• Activity intolerance, related to bed rest

What should you encourage the patient with amputation to perform?

• Encourage to take pain reliever.

• Encourage to don't mind the procedure to be performed.

• Express feelings about lost of limb

A client says, "I hate the idea of being an invalid after they cut off my leg." Which of the following would be the nurse's most therapeutic response?

• "At least you will still have one good leg to use."

• "Tell me more about how you're feeling."

• "Let's finish the preoperative teaching."

• "You're lucky to have a wife to care for you."

What is an appropriate outcome for a nursing diagnosis, Anxiety, related to the perceived threat of disability?

• Comfort is increased; verbalized pain is less.

• Anxiety is relieved; the patient verbalizes concern related to disability.

• Grief is resolved; the patient expresses an acceptance of loss.

• Residual limb is cleaned; no exudate, redness, or edema is observed.

The nurse's primary focus is to monitor for signs indicating that there is sufficient tissue perfusion but no hemorrhage. The skin flap at the end of the residual (remaining) limb should be pink in a light-skinned person and not discolored (lighter or darker than other skin pigmentation) in a dark-skinned patient. The area should be warm but not hot.

• True

• False

The client has sustained a traumatic amputation of the left arm after a machine accident. In what order should the following nursing actions be taken? 1. Apply direct pressure to the amputated site. 2. Elevate the extremity above the client’s heart. 3. Assess the client for breathing problems. 4. Examine the amputation site

• a. 2, 4, 3, 1

• b. 3, 4, 1, 2

• c. 1, 4, 3, 2

• d. 4, 1, 2, 3