The nurse is receiving a client from the postanesthesia care unit following left above-knee amputation. The priority nursing action at this time is which of the following?
1. Elevate the foot of the bed.
2. Position the stump flat on the bed.
3. Put the bed in a reverse Trendelenburg's position.
4. Keep the stump flat, with the client lying on his or her operative side.
1
Rationale: Edema of the stump is controlled by elevating the foot of the bed for the first 24 hours after surgery. After the first 24 hours, the stump is placed flat on the bed to reduce hip contracture. Edema is also controlled by stump wrapping techniques.
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A) True B) False
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