A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following Instructions should the nurse include?

A. Keep initial pressure dressing in place for 1 week after surgery: The initial post-amputation dressing is usually removed or changed within 24–48 hours under surgical guidance to monitor for bleeding, infection, and proper healing. Leaving it for a full week can increase the risk of complications. B. Leave the prosthesis in place when going to bed: Prostheses should be removed at night to allow the residual limb to rest, prevent skin breakdown, and reduce pressure-related injuries. Continuous wear can compromise skin integrity and comfort. C. Avoid extension of the hips when lying down: After an above-the-knee amputation, clients are encouraged to extend the hips periodically to prevent flexion contractures. Avoiding hip extension could contribute to joint stiffness and functional limitations. D. Clean the prosthesis using a damp, soapy cloth: Proper cleaning of the prosthesis with a damp, mild-soap cloth helps maintain hygiene, prevents odor and bacterial growth, and preserves the integrity of the device. Regular cleaning is essential for long-term prosthesis use and skin health.