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    Hesi Rn d446 adult care 0A1: med surg proctored exam (wgu)

    Exhibits Physical therapy is working with client. New prescriptions are received and implemented. For each action, click to indicate whether the actions are indicated or contraindicated for postoperative amputation. Each column must have at least one response option selected.

    Explanation & Rationale

    Rationale for indicated actions: • Conditioning exercises of residual limb: Gentle conditioning exercises help maintain circulation, prevent contractures, and improve residual limb mobility. These exercises are crucial post-amputation to prepare for prosthetic use and optimize rehabilitation outcomes. • Instructions on equipment: Teaching the client to use assistive devices (walkers, crutches, prosthetics) enhances safety, promotes independence, and reduces the risk of falls during recovery. Early instruction supports functional adaptation. • Collaborative care: Interdisciplinary care involving physical therapy, nursing, occupational therapy, and social work ensures holistic recovery. Collaboration facilitates optimal wound care, mobility training, and psychosocial support for the patient. • Assessment for grieving: Post-amputation, clients commonly experience grief and body image concerns. Assessing emotional well-being is indicated to provide counseling, support coping strategies, and improve overall recovery. • Strengthening exercises: Strengthening exercises for the unaffected limb and upper body support mobility, prevent deconditioning, and aid in future use of assistive devices or prosthetics. Early activity promotes overall functional independence. Rationale for Contraindicated Actions: • Obtaining soft mattress overlay: A soft mattress can lead to improper positioning and can increase the risk of contractures. A firm mattress or bed board is generally recommended to keep the residual limb in a flat, extended position.

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