A patient is recovering from a below-the-knee amputation. For which complications should the nurse assess this patient?
Select all that apply.
1. diabetes mellitus
2. phantom pain
3. infection
4. chronic stump pain
5. contractures
Question 2The nurse has identified that a patient recovering from an above-the-knee amputation has a problem with pain control. Which nursing interventions would be beneficial for this patient?
Select all that apply.
1. administering analgesics before pain reaches a higher level
2. splinting and supporting the injured area
3. elevating the stump on three pillows
4. encouraging deep breathing and relaxation exercises
5. repositioning the patient every 8 hours
Question 3The nurse is explaining to a patient the procedure to alleviate pressure on a casted extremity. How should the nurse explain the procedure?
1. This procedure is called bivalving. The doctor will use a cast saw to split the cast down both sides to relieve pressure on your leg.
2. This procedure is called an external fixation and will help the bone heal.
3. This procedure is called an open reduction with internal fixation to help the bone fuse together.
4. This procedure will help heal your leg faster so that the cast can come off sooner.
Question 4The nurse is changing a patient's stump dressing. The nurse understands that proper technique must be used for the above-the-knee amputation. Which technique should the nurse use for this dressing change?
1. figure-eight bandage
2. compression bandaging technique
3. splinting
4. bivalving
Question 5A 70-year-old male patient has a fracture of the right hip from a motor vehicle accident. The orthopedic surgeon decides to perform surgery to correct the fracture to prevent complications and allow early rehabilitation.
Which type of surgery and stabilization will be performed on this patient? Refer to the figure.
1. external fixation
2. open reduction and internal fixation
3. total right hip arthroplasty
4. hip arthroscopy
Question 6The patient has a fracture of the right tibia and fibula. The orthopedic surgeon decides to surgically correct the fractures with the device in the figure. What type of device is being used?
1. internal fixation device
2. external fixation device
3. Buck's traction
4. wiring
Question 7A patient with an open fracture of the left femur that punctured the skin waited 2 hours before getting to the hospital. What would be the priority problem to address when caring for this patient?
1. insufficient nutrition
2. high potential for infection
3. low body temperature
4. fear and anxiety
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