Peripheral Arterial Disease and Amputation Quiz

List three major risk factors associated with the development of Peripheral Arterial Disease (PAD).

Answer explanation

Three major risk factors for Peripheral Arterial Disease (PAD) include smoking, diabetes, and high blood pressure. These factors contribute to the narrowing of arteries, leading to reduced blood flow and increased risk of PAD.

Describe two key differences between the pain experienced with PAD and the pain associated with venous insufficiency.

Answer explanation

Pain from PAD typically occurs during activity and is relieved by rest, while pain from venous insufficiency is often worse when standing and improves with elevation. PAD pain is usually sharp, whereas venous pain is more achy.

Explain the significance of assessing the Ankle-Brachial Index (ABI) in a client suspected of having PAD.

Answer explanation

Assessing the Ankle-Brachial Index (ABI) is crucial for diagnosing Peripheral Artery Disease (PAD). It compares blood pressure in the ankle and arm, helping to identify reduced blood flow, which is a key indicator of PAD severity.

What are the '6Ps' used to assess for acute arterial occlusion, and why is prompt recognition of these signs crucial?

Answer explanation

The '6Ps' are Pain, Pallor, Pulselessness, Paresthesia, Paralysis, and Poikilothermia. Prompt recognition is crucial to prevent tissue loss and ensure timely intervention in acute arterial occlusion.

Describe the purpose of using cold packs on the mannequin leg in the simulation exercise.

Answer explanation

Cold packs are used on the mannequin leg to simulate the application of ice for reducing swelling and pain, demonstrating proper first aid techniques in response to injuries during the simulation exercise.

Explain the rationale behind teaching a client with an amputation how to tensor wrap their residual limb.

Answer explanation

Teaching a client to tensor wrap their residual limb helps reduce swelling, provides support, and prepares the limb for prosthetic fitting. Proper wrapping techniques promote healing and enhance comfort during the adjustment period.

What is phantom pain, and what non-pharmacological intervention is often used to help manage this phenomenon?

Answer explanation

Phantom pain is the sensation of pain in a limb that has been amputated. A common non-pharmacological intervention to manage this is mirror therapy, which helps retrain the brain's perception of the missing limb.

Discuss two potential physical complications that a nurse should monitor for in a client following a below-the-knee amputation.

Answer explanation

Following a below-the-knee amputation, a nurse should monitor for potential complications such as infection at the surgical site and phantom limb pain, which can significantly affect recovery and quality of life.

Why is it important for nurses to assess a client's self-concept both before and after an amputation?

Answer explanation

Assessing a client's self-concept before and after an amputation is crucial to understand their emotional and psychological state, aiding in tailored support and interventions to promote positive adjustment and recovery.

Describe two essential aspects of client education regarding the care of a residual limb to prevent complications.

Answer explanation

Two essential aspects of client education for residual limb care include: 1) Regular inspection of the limb for skin integrity to prevent infections, and 2) Proper hygiene practices to maintain cleanliness and avoid complications.