Question

A client had a below-the-knee amputation secondary to arterial occlusive disease. The nurse is instructing the client about residual limb care. Which statement by the client indicates that the client understands how to implement the plan of care?

1. "I should inspect the incision carefully when I change the dressing every other day."
2. "I should wash the incision, dry it, and apply moisturizing lotion daily."
3. "I should rewrap the stump as often as needed."
4. "I should elevate the stump on pillows to decrease swelling."

Answer 1

The correct plan of care for residual limb after amputation includes washing and drying the incision daily, followed by the application of moisturizing lotion. Watching for signs of infection is critical, and removing infected tissue helps contain and reduce infection.

Step-by-step explanation:

The statement by the client indicating an understanding of how to implement the plan of care for residual limb care after a below-the-knee amputation would be: "I should wash the incision, dry it, and apply moisturizing lotion daily." This shows that the client understands the importance of regular cleaning to prevent infection and keeping the skin moisturized to maintain skin integrity. Proper care of the residual limb is crucial for healing and to prepare for the use of a prosthesis.

It is important to watch for increased redness, swelling and pain after a cut or abrasion has been cleaned and bandaged because these may be signs of an infection, which can escalate if left unchecked. Quick identification and treatment are essential for optimal recovery.

The removal of infected tissue can stem an infection because it eliminates the necrotic tissue that harbors bacteria, reducing the bacterial load and helping to stop the spread of infection. This promotes a healthier healing environment for the remaining healthy tissue.