The nurse is discharging a patient who recently underwent surgery for an above-the-knee amputation (AKA) of the left lower extremity. The patient requires additional education if he states:

"I should elevate the affected limb to reduce swelling."
"I will clean the wound daily with rubbing alcohol."

Explanation

• Elevating the affected limb can cause flexion contractures of the hip and should be avoided. Sitting in a chair should be limited to one hour at a time. To promote hip extension, the patient should lie prone several times a day.

• No rubbing alcohol should be used on the site because it can dry the skin and lead to cracking. No lotions, creams, or oils should be applied, either.

• The other statements are correct.

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