A client is scheduled for a guillotine amputation and is crying, stating that he/she cannot live with "such an ugly leg." The information from the nurse that would best help the client cope with the upcoming surgery is to tell the client that
a. in another operation, the stump edge will be covered with a skin flap.
b. it is either have the amputation or die from the infection.
c. later cosmetic surgery is an option if the amputation cures the infection.
d. while wearing a prosthesis, no one will be able to see the "ugly leg."
A
The major indication for guillotine amputation is infection. The surgeon does not close the stump with a skin flap immediately but leaves it open, allowing the wound to drain freely. Antibiotics are used. Once the infection is completely eradicated, the client undergoes another surgery for stump closure.
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A nurse is pouching an ostomy on a patient with an ileostomy. Which action by the nurse is most appropriate?
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