Certified Medical-Surgical Registered Nurse Practice Exam

What complication is most concerning during the first few days following an amputation procedure?

1. Infection.

2. Phantom limb pain.

3. Hemorrhage.

4. Delayed healing.

The correct answer is: Hemorrhage.

During the first few days following an amputation procedure, the most concerning complication is hemorrhage. This is a critical time for patients as they are at increased risk of bleeding due to surgical trauma, the disruption of blood vessels, and the body's response to the loss of a limb. Immediate post-operative care focuses on monitoring vital signs and the surgical site for any signs of excessive bleeding. Hemorrhage can lead to significant blood loss and subsequent shock, which can be life-threatening. Proper assessment and timely intervention are crucial in preventing complications associated with significant blood loss. Other complications, while important, tend to have different time frames or are not as acutely critical in the immediate post-operative period. Infection is a serious concern as well, but it typically manifests days to weeks after surgery. Phantom limb pain is a common phenomenon in amputees and usually occurs later as the patient begins to recover from the surgery. Delayed healing can certainly be a concern, especially in patients with poor circulation or underlying health issues, but it is more relevant in the long-term rather than the immediate post-operative phase.