Oregon Certified Nursing Assistant State Practice Exam

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What is a risk factor to monitor in residents post-amputation?

  1. Increased activity levels

  2. Phantom sensations

  3. Skin breakdown

  4. Emotional stability

The correct answer is: Skin breakdown

Monitoring skin breakdown is crucial in residents post-amputation due to several reasons. After an amputation, particularly in the area where the limb was removed, the skin is often under increased stress as it adapts to the change. It is vital to observe the surgical site and surrounding areas for signs of skin integrity issues, such as redness, swelling, or sores. Residents may have altered mobility or may not be able to adequately care for the stump themselves, increasing the risk of skin breakdown. Additionally, if a prosthesis is being used, the contact with skin can lead to friction and pressure sores. Regular assessment and proper care can help prevent infections, promote healing, and ensure better overall recovery. While phantom sensations, emotional stability, and changes in activity levels are also important to monitor, they do not directly pose as immediate physical risks as skin breakdown does in the context of post-amputation care. The skin's integrity is paramount in promoting healing and preventing complications, making skin breakdown a key focus in monitoring these residents.