Question

a nurse is collecting data from a client who is 24 hr postoperative following an above-the-elbow amputation. which of the following findings should the nurse identify as the priority?

report of muscle spasms

inability to get dressed without assistance

report of feelings of anger

refusal to look at the affected limb

Explanation:

In postoperative care for amputation, physiological needs and potential complications take priority. Muscle spasms can be a sign of issues like poor blood flow, nerve irritation, or developing contractures, which can impact recovery and cause significant discomfort. The other options (inability to dress, anger, refusal to look at limb) are more related to functional or psychological aspects, which are secondary to addressing potential physiological complications. So the priority finding is the report of muscle spasms.

Answer:

Report of muscle spasms