Question

A nurse provides home care instructions to a client with a below-the-knee amputation (BKA) about residual limb and prosthesis care. Which statement by the client indicates a need for further instruction?

a) I will wash my residual limb with mild soap and water daily.
b) I will apply lotion to my residual limb to prevent dryness.
c) I will avoid placing pillows under my residual limb when sitting.
d) I will use heating pads to alleviate any discomfort in my residual limb.

Answer 1

The incorrect statement is d) I will use heating pads to alleviate any discomfort in my residual limb, which suggests a need for further instruction on proper care of the residual limb and prosthesis, as heating pads can cause burns if sensation is reduced.

Step-by-step explanation:

The client's statement that indicates a need for further instruction is: d) I will use heating pads to alleviate any discomfort in my residual limb. This statement suggests a misunderstanding. Using heating pads can be dangerous, as it might lead to burns or damage, especially if there is reduced sensation in the residual limb. The client should be advised to avoid extreme temperatures and instead use gentle measures to manage discomfort, such as careful repositioning, using cushioning materials, or speaking with a healthcare provider about appropriate pain management strategies.

In contrast, statement (a) indicating the client will wash the residual limb with mild soap and water daily, statement (b) about applying lotion to prevent dryness, and statement (c) advising against placing pillows under the residual limb when sitting, all reflect appropriate care techniques for a residual limb and a prosthesis.