Which instruction is the most important for the practical nurse (PN) to reinforce in the discharge teaching of a 16-year-old who had an above-the-knee amputation (AKA)?

A. Do not use lotion on the residual limb: Avoiding lotion is appropriate initially because it may cause skin softening or irritation before full healing occurs. However, this is not the most important teaching point related to long-term functional recovery and prevention of complications. B. Inspect the residual limb every day: Daily inspection is essential for detecting irritation or infection, especially once the client begins prosthesis use. However, in the early postoperative phase, preventing contractures is a higher priority to preserve mobility and facilitate prosthetic fitting. C. Lay prone for 30 minutes 3 or 4 times every day: Lying prone several times daily helps prevent hip flexion contractures, a common complication after an above-the-knee amputation. This position stretches the hip muscles, maintains joint extension, and promotes proper alignment, making it the most critical instruction for long-term rehabilitation success. D. Air dry the residual limb for 20 minutes after washing it: Allowing the limb to air dry helps maintain skin integrity, but it is a basic hygiene measure rather than a primary preventive strategy. Preventing contractures takes precedence in discharge teaching.