The nurse caring for a patient who had a right extremity below the knee amputation (BKA) recognizes the importance of implementing measures that focus on preventing flexion contracture of the hip and maintaining proper positioning

Which of the following measures will achieve these goals?
A) Encouraging the patient to turn from side to side and to assume a prone position
B) Initiating ROM exercises of the hip and knee 3 months after the amputation
C) Minimizing movement of the flexor muscles of the hip
D) Encouraging the patient to sit in the chair for at least 8 hours a day


Ans: A
Feedback: The nurse encourages the patient to turn from side to side and to assume a prone position, if possible, to stretch the flexor muscles and to prevent flexion contracture of the hip. Postoperative ROM exercises include hip and knee exercises that are started early because contracture deformities develop rapidly. The nurse also discourages sitting for prolonged periods of time.

Nursing

You might also like to view...

A patient who is being administered metronidazole (Flagyl) to treat Clostridium difficile will also be administered which medication orally to assist in restructuring the flora of the intestinal tract?

A) Spectinomycin (Trobicin) B) Rifaximin (Xifaxan) C) Vancomycin (Vancocin) D) Quinupristin–dalfopristin

Nursing

An 80-year-old patient with internal bleeding is admitted through the emergency room after a motor vehicle accident. The physician has ordered 2 units of packed red blood cells (1 unit is 250 mL) to infuse over 1 hour each

The drip rate on the blood administration set is10 gtt/mL. The nurse administers how many drops per minute to infuse the blood as ordered? A) 47 B) 42 C) 37 D) 32

Nursing

Which assessment findings increase a client's risk for suicidal ideation or behavior? Select all that apply

A) Substance abuse B) Age 59 C) Plays golf twice a week D) Widowed for 6 months E) Recently started a new job

Nursing

A nurse and a patient are discussing the patient's wishes regarding resuscitation. The patient decides that resuscitated is not wanted under any circumstances. What action can the nurse take to identify the ethical issues of the situation?

a. Encourage the patient to discuss his wish-es with his family. b. Encourage the patient to change his mind. c. Coerce the patient into changing his mind by calling his physician to the bedside. d. Continue to treat the patient as a "full code.".

Nursing