E.B. returns from surgery with the right residual limb dressed with gauze and an elastic wrap. The dressing is dry and intact, without drainage. He is drowsy with the following vital signs: 142/80, 96, 14, 97.9° F
(36.6° C), Spo2 92%.
He is receiving a maintenance intravenous (IV) infusion of d5NS at 125 mL/hr in his
right forearm.
The surgeon has written to keep E.B.'s residual limb elevated on pillows for 48 hours; after
that, have him lie in a prone position for 15 minutes, four times a day. In teaching E.B. about
his care, how will you explain the rationale for these orders?
What will be an ideal response?
• Elevation of the residual limb will decrease swelling and promote healing at the end of the residual
limb.
• Lying prone will prevent the development of hip contractures.
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