52. During the first 24 hours after an above-the-knee amputation for vascular disease, nursing priority for stump care would be:
52. During the first 24 hours after an above-the-knee amputation for vascular disease, nursing priority for stump care would be:
. Inspecting for redness and pressure points.
. Elevating to reduce edema.
. Cleansing with soap and water.
. Initiating fitting for prosthesis.
Test-Taking Tip
With any "trauma" such as surgery, prevent swelling—in this situation look for elevation.
Content Area: Adult Health, Musculoskeletal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Mobility/Immobility
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Answer 1 is incorrect because, during the early postoperative period, pressure would not be the first concern. If edema develops, breakdown will be more likely. Answer 2 is correct because reducing edema will promote healing and prevent complications. Answer 3 is incorrect because the wound will not be cleansed within the first 24 hours. The stump is wrapped securely after surgery, and the dressing would be reinforced if needed. Answer 4 is incorrect because a prosthesis will not be indicated until there has been sufficient healing.