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A nurse is caring for a client who has undergone a below-the-knee amputation of his left leg. The surgeon is preparing to remove the initial surgical dressing and asks the nurse to obtain dressings and ace wraps in preparation for removal. The nurse understands that which of the following best explains the rationale for using the ace wraps?

a) The wraps helps to approximate wound edges
b) The wraps help to prevent abscess formation
c) They facilitate closure of acute wounds
d) They provide light support to the area

1 Answer

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Final answer:

Ace wraps provide light support and control swelling after an amputation, shaping the limb for a prosthetic. As infected tissue harbours bacteria, its removal contains infection and aids healing. Physical therapy is pivotal to recovering lost function due to muscle mass loss.

Step-by-step explanation:

The nurse understands that the use of ace wraps after a below-the-knee amputation is mainly to provide light support to the area where the amputation has occurred. Using ace wraps helps to control swelling, shapes the limb to prepare it for a prosthesis, and supports the tissue as it heals. It's important to watch for increased redness, swelling, and pain, as these can be signs of infection, which may impede healing and require further medical interventions. The removal of infected tissue, such as in cases where necrotizing fasciitis has occurred, is essential because it removes the source of the infection, allowing the body to begin the healing process. This case illustrates the long-term recovery needed after serious infections, where the loss of muscle mass impacts the strength and functionality of a limb, with physical therapy being crucial for regaining as much use as possible.

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