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    Hesi Rn d446 adult care 0A1: med surg proctored exam (wgu)
    Select All That Apply

    Patient Data Exhibits Which item(s) should the nurse teach the client? Select all that apply.

    Explanation & Rationale

    A. Therapeutic coping: Amputation can cause significant emotional distress, grief, and body image concerns. Teaching the client strategies for coping and providing resources for emotional support is essential for mental health and adjustment to life post-amputation. B. Alternating positions: Teaching the client to change positions regularly helps prevent complications such as contractures, pressure injuries, and promotes circulation, which is crucial for residual limb healing and overall mobility. C. Prevention of skin breakdown: Proper skin care and monitoring of the residual limb and other pressure points are important to prevent breakdown, infection, and delayed healing. Education on inspection and hygiene is essential for long-term outcomes. D. Fine motor skills: Fine motor skills are not directly affected by a below-the-knee amputation. While occupational therapy may address some functional adaptation, teaching fine motor skills is not a priority for this client’s care. E. Keeping a positive outlook: Encouraging a positive outlook supports motivation for rehabilitation, adherence to treatment, and overall quality of life. Psychological well-being is a key component of recovery after major limb loss. F. Soaking baths for pain management: Soaking the residual limb in water is contraindicated after surgery because it increases risk of infection and delays healing. Clients should be instructed to keep the residual limb clean and dry. G. Use of equipment: Education on the proper use of mobility aids, prosthetic devices, or adaptive equipment is essential for safety, independence, and rehabilitation. Early training promotes functional recovery and confidence. H. Circular wrapping of the residual limb: Proper elastic or compression bandaging using circular wrapping helps reduce edema, shape the residual limb for future prosthesis fitting, and promote healing. Teaching correct technique prevents complications such as constriction or skin breakdown.

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