NursingPlex
    Sign In
    Ati pn adult medical surgical 2023 proctored exam

    A nurse is caring for a client who is postoperative following a below-the-knee amputation. Which of the following actions should the nurse take to assist the client in maintaining their independence?

    Explanation & Rationale

    The client is recovering from major surgical limb alteration and requires interventions to optimize functional recovery. Applying principles of rehabilitation nursing, psychosocial adaptation models, and self-efficacy theory is essential to promote personal autonomy over dependent behaviors. Choice A rationale Requesting the partner to apply the prosthetic device fosters a pattern of physical dependence on secondary caregivers. Independence is achieved when the client is trained to perform residual limb care and prosthetic donning autonomously. Choice B rationale Avoiding inspection of the residual limb delays psychological processing and adaptation to the new body image. Encouraging direct visualization is a necessary early step for the client to achieve independent self-care and wound monitoring. Choice C rationale Peer support from another individual with an amputation utilizes social modeling to enhance self-efficacy. Seeing a peer function independently motivates the client to master self-care activities and successfully adapt to their physical alterations. Choice D rationale Outsourcing wardrobe modifications to a partner assumes the client cannot manage their own instrumental activities of daily living. True autonomy is supported by involving the client directly in selecting adaptive garments to accommodate the limb..

    🔒 Submit your answer to reveal