The nurse has identified that a patient recovering from an above-the-knee amputation has a problem with pain control. Which nursing interventions would be beneficial for this patient?
Select all that apply.
1. administering analgesics before pain reaches a higher level
2. splinting and supporting the injured area
3. elevating the stump on three pillows
4. encouraging deep breathing and relaxation exercises
5. repositioning the patient every 8 hours
Correct Answer: 1, 2, 4
Analgesics alleviate pain by stimulating opiate receptor sites. Giving pain medication when the pain is rated at a lower level allows for more effective pain management. Splinting prevents additional injury by immobilizing the stump and reducing edema while molding the stump for a good prosthetic fit. Deep breathing and relaxation will increase the effectiveness of analgesics and modify the pain experience. Elevating the stump can increase the risk for hip contractures. The patient should be repositioned every 2 hours to prevent muscle cramping and prolonged pressure on any area.
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