Chapter 62 Musculoskeletal Trauma and Orthopedic Surgery
A nurse is reviewing a list of patients in the outpatient unit. Which condition is a risk factor for amputation?
Gangrene secondary to diabetes
The nurse is caring for a 55-year-old patient with a history of hypertension and skin cancer. The nurse notes discoloration and diminished pulses on a patient’s left foot. The patient reports prolonged exposure to cold, decreased sensation, and tingling in the area. Which factors likely contributed to the patient’s risk for amputation?
Exposure to cold
Decreased tissue perfusion
Which patients are at risk for amputation?
Active duty soldier
Older adult with arteriosclerosis
Young adult with peripheral artery disease
A patient with swelling, pain, and ulcers of the right leg reports numbness and tingling of the toes. For which diagnostic study would the nurse expect to prepare this patient?
Venography
The nurse is preparing a patient for surgery after a crush injury to the right ankle. The patient’s leg and knee were not damaged. For which type of amputation would the nurse anticipate preparing this patient?
Syme’s amputation
The nurse is caring for an older adult patient immediately after a closed right above-knee amputation with a skin flap. Which order by the health care provider should the nurse implement?
Apply wound vacuum device
The nurse is preparing a 68-year-old patient for left above-knee amputation. The patient has a history of stroke, diabetes, and hypertension. Which actions are important to take preoperatively?
Monitor blood sugar levels
Teach about upper body strength exercises
A patient with a right leg amputation reports hip pain and muscle tightness. Which recommendation should the nurse make?
Lie prone for 30 minutes 3 to 4 times per day
The nurse is caring for a patient who underwent right arm amputation secondary to a crush injury. The patient does not talk much about the surgery but does indicate that he is nervous about using the prosthesis and asks for guidance. Which responses by the nurse are appropriate?
“When I change your dressing, let’s look at the surgical site together.”
“I will provide a list of therapists that you can use to help you use your prosthesis.”
“You are moving in the right direction by thinking ahead to how you will use your prosthesis.”
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