64. To prevent contractures, in which position should a nurse place a client 72 hours after an above-the-knee amputation?
64. To prevent contractures, in which position should a nurse place a client 72 hours after an above-the-knee amputation?
. Sitting in a reclining chair twice a day.
. Supine with the stump elevated at least 30 degrees.
. Side-lying, alternating left and right sides.
. Lying on the abdomen several times daily.
Test-Taking Tip
The priority changes with time: early postoperative period—edema; late postoperative period—contractures.
Content Area: Adult Health, Neuromuscular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
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Answer 1 is incorrect because sitting will only increase the likelihood of flexion contractures. Answer 2 is incorrect because after 48 hours the client must change from this position (which was indicated initially to reduce edema). Answer 3 is incorrect because it would not fully extend the leg and hip. Answer 4 is correct because, at approximately 48 to 72 hours following the procedure, the client must be turned onto the abdomen to prevent flexion contractures.