Question

A nurse is providing preoperative teaching for a client who is scheduled to have a below-the-knee amputation. Which of the following instructions should the nurse include?

a) Elevate the residual limb continuously for the first 48 hours.
b) Avoid moving the knee joint to prevent injury.
c) Perform range of motion exercises on the affected leg.
d) Apply heat to the residual limb to reduce swelling.

Answer 1

The nurse should instruct the client to perform range of motion exercises on the affected leg.

Step-by-step explanation:

The nurse should include the instruction to perform range of motion exercises on the affected leg for a client scheduled to have a below-the-knee amputation. Range of motion exercises help maintain flexibility and prevent stiffness in the affected limb. These exercises will also promote blood circulation and reduce the risk of blood clots.

Elevating the residual limb continuously for 48 hours is not recommended, as it can lead to decreased blood flow and increase the risk of complications. Moving the knee joint is important to prevent joint contractures and maintain mobility. Applying heat to the residual limb is not advised, as heat can increase swelling.