{"id":4762,"date":"2024-10-23T00:10:30","date_gmt":"2024-10-23T00:10:30","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4762"},"modified":"2026-03-20T13:50:46","modified_gmt":"2026-03-20T21:50:46","slug":"nclex-qotd-amputation","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-amputation","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Amputation"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-amputation\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-amputation\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-amputation\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-amputation\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Ready for today\u2019s NCLEX-RN\u00ae question?<\/strong> Test your knowledge by determining the <strong>priority nursing action<\/strong> for a patient who had a <strong>below-the-knee amputation<\/strong> 12 hours ago.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>nurse on the medical surgical unit<\/strong> is caring for a patient who underwent a <strong>below-the-knee amputation<\/strong> 12 hours ago following a <strong>motor vehicle accident.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Which is the nurse\u2019s&nbsp;<em>priority&nbsp;<\/em>action?&nbsp;&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;Apply a circumferential compression bandage to the amputation site<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;Gently massage the skin of the residual limb toward the suture line<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;Elevate the foot of the bed, supporting the extremity on pillows&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;Position the client in a prone position for 20 minutes per day<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em><strong>Scroll down for the correct answer!<\/strong><\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;Elevate the foot of the bed, supporting the extremity on pillows<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> For the first 24 hours following a <strong>below-the-knee amputation<\/strong>, the nurse should <strong>elevate the foot of the bed<\/strong> and <strong>support the affected extremity on pillows<\/strong> to <strong>decrease swelling.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>priority nursing goals<\/strong> for a client with a <strong>lower extremity amputation<\/strong> are to provide <strong>postoperative care<\/strong>, <strong>monitor for complications<\/strong>, and <strong>provide emotional support.<\/strong> The nurse should begin by implementing <strong>routine postoperative interventions<\/strong> and instituting measures to <strong>promote comfort and healing.<\/strong> For the first 24 hours postoperatively, the nurse should <strong>elevate the foot of the bed<\/strong> and <strong>support the affected extremity on pillows<\/strong> to further decrease swelling.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then, after 24 hours, the nurse can <strong>discontinue elevating the extremity<\/strong> and begin <strong>positioning the client in a prone position<\/strong> twice daily for 20 to 30 minutes to help prevent <strong>flexion contractures of the hip.<\/strong> Also, the nurse will <strong>gently massage the skin of the residual limb toward the suture line<\/strong> to promote circulation and help prevent scar tissue from adhering to the underlying bone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse should then <strong>apply a compression bandage<\/strong> using a <strong>figure-eight limb-wrapping technique<\/strong> to promote comfort, reduce swelling, and help mold the residual limb for a <strong>prosthesis.<\/strong> Avoid wrapping the extremity too tightly or in a circular pattern, as these can impair circulation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1373\" height=\"1024\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/Postoperative-interventions-nclex.png\" alt=\"Postoperative Interventions\nMeasures to promote comfort and healing\n\nFirst 24 hours:\n\n* Elevate foot of bed\n* Support affected extremity on pillows\n\nAfter 24 hours:\n\n* Discontinue elevating extremity\n* Position client in prone position twice a day for 20\u201330 minutes\n\nGently massage skin of residual limb towards suture line:\n\n* Promote circulation\n* Help prevent scar tissue from adhering to underlying bone\n\" class=\"wp-image-8840\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/Postoperative-interventions-nclex.png 1373w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/Postoperative-interventions-nclex.png?resize=300,224 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/Postoperative-interventions-nclex.png?resize=768,573 768w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/Postoperative-interventions-nclex.png?resize=1024,764 1024w\" sizes=\"auto, (max-width: 1373px) 100vw, 1373px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;Apply a circumferential compression bandage to the amputation site&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> A <strong>circumferential or circular pattern<\/strong> should be avoided when wrapping a compression bandage around the amputation site because it will <strong>impede circulation<\/strong> to the limb. The nurse should instead apply a <strong>compression bandage<\/strong> using a <strong>figure-eight limb-wrapping technique<\/strong> to promote comfort, reduce swelling, and help mold the residual limb for a prosthesis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;Gently massage the skin of the residual limb toward the suture line<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> After <strong>24 hours,<\/strong> rather than 12 hours, the nurse should <strong>gently massage the skin of the residual limb toward the suture line<\/strong> to promote circulation and help prevent scar tissue from adhering to the underlying bone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;Position the client in a prone position for 20 minutes per day<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> After <strong>24 hours,<\/strong> rather than 12 hours, the nurse should begin <strong>positioning the client in a prone position<\/strong> twice daily for 20 to 30 minutes to help prevent <strong>flexion contractures of the hip.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch the Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Amputation:_Nursing\">Amputation: Nursing<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/osmosis.org\/create\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/ace-nclex-ad_5995ae.png\" alt=\"\" class=\"wp-image-4763\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/ace-nclex-ad_5995ae.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/ace-nclex-ad_5995ae.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Want more <strong>NCLEX<\/strong>\u00ae-style practice questions? Try <strong>Osmosis by Elsevier<\/strong> today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/plans\"><strong>free trial<\/strong><\/a>\u00a0and discover why millions of current and future clinicians and caregivers love <strong>learning with us<\/strong>.<\/em><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patient presents after a below-the-knee amputation. Understand the key nursing priorities and interventions necessary in the immediate postoperative period.<\/p>\n","protected":false},"author":279,"featured_media":8842,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[29,1367,1366,32],"tags":[2234,2233,2235,2241,2240,2238,244,245,499,787,149,2236,1343,2239,2237],"class_list":["post-4762","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nclex","category-nclex-rn","category-questions","category-nursing","tag-amputation-care","tag-below-the-knee-amputation","tag-compression-bandage","tag-flexion-contracture-prevention","tag-limb-wrapping","tag-medical-surgical-nursing","tag-nclex-rn","tag-nursing-education","tag-nursing-exam-prep","tag-nursing-interventions","tag-patient-care","tag-postoperative-nursing","tag-prone-positioning","tag-residual-limb-care","tag-swelling-management"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Amputation - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-amputation\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Amputation - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A patient presents after a below-the-knee amputation. 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