NCLEX-PN Practice Q 40

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The nurse is caring for a client with an above-the-knee amputation (AKA). An important intervention that the nurse should do is:

  

     A. Place the client in a prone position 15–30 minutes thrice a day

     B. Keep the foot of the bed elevated on shock blocks

     C. Place trochanter rolls on either side of the affected leg

     D. Keep the client’s leg elevated on two pillows

    

    

Correct Answer: A. Place the client in a prone position 15–30 minutes twice a day

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Option A: The client with an above-the-knee amputation should lie prone 15–30 minutes three times a day to prevent hip flexion contractures.

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Options B and D: Elevating the extremity after the first 24 hours will promote the development of contractures.

Option C: Use of a trochanter roll will prevent rotation of the extremity but will not prevent contracture.

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