Muscular-Skeletal. Lecture 3. Amputation. Pg 1080. Amputation. “removal of a body part, often an extremity”. Amputation. Common Causes Peripheral Vascular Disease (PVD) Trauma Osteomyelitis Tumor. osteosarcoma. Which of the following type of amputation is the most common?
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Which of the following techniques is correct for obtaining a wound culture specimen from a surgical site? • Thoroughly irrigate the wound before collecting the specimen. • Use a sterile swab and wipe the crusty area around the outside of the wound. • Gently roll a sterile swab from the center of the wound outward to collect drainage. • Use a sterile swab to collect drainage from the dressing.
NURSING ALERT • If the cast or elastic dressing comes off, the residual limb must be immediately wrap with an elastic compression bandage. If not, excessive edema will develop leading to a delay in rehabilitation. • Notify the surgeon so that another cast can be applied promptly
Nursing Alert • The residual limb should not be placed on a pillow because a flexion contracture of the hip may result.
A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? • The client should be placed in a room with negative pressure. • Infection requires close contact; therefore, the door may remain open. • Transmission is highly likely, so the client should wear a mask at all times. • Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.
A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain? • "The pain will go away in a few days.“ • "The pain is due to peripheral nervous system interruptions. I will get you some pain medication." • "The pain is psychological because your foot is no longer there." • “The pain and itching are due to the infection you had before the surgery."
You are assigned to care for a patient with a Below the Knee Amputation (BKA). Among the patient’s orders is one which states that the patient should be placed in the prone position twice daily. The nurse knows that the reason for this is: • Changing the patient’s position will help to prevent skin breakdown • To observe the stump for signs of infection • To assist the patient in doing ROM (Range of Motion) exercises • To stretch the flexor muscles and prevent flexion contractures
Small Group Questions • Look at the list of complications associated with an amputation. Identify ways to assess for each complication and treatment. • Describe the assessment of a patient going into surgery for a non-traumatic BKA.
