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Terms in this set (9)
A nurse is caring for a client who is 2 days postoperative following an above-the knee-amputation. Which of the following is an appropriate nursing intervention for this client at this time?
a. Elevate the foot of the bed.
b. Encourage the client to sit up as much as possible.
c. Elevate the client's residual limb on a
pillow.
d. Have the client lie prone every 2-3 hours for 20 minutes at a time.
d
Which statement would be included in the nurse's teaching plan regarding phantom pain after amputation?
a "The pain will disappear soon."
b "It's likely that you will have only a tingling sensation."
c "Your pain will gradually become less severe."
d "Phantom pain is mostly psychological."
c
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
a. Fat embolism syndrome
b. Acute compartment syndrome
c. Pulmonary embolism
d. Malignant hypothermia
b
A nurse is providing teaching for a client who is preparing
for a below the knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis?
a "You will do special exercises in advance of getting your prosthesis."
b "You will be fitted for your prosthesis at the time of surgery."
c "A special pressure dressing will remain on to cushion your prosthesis."
d "The prosthesis will be adjustable depending on what shoe you are wearing."
a
A nurse is assessing the elastic bandage on the residual limb of a client who had a right below-the-knee amputation. Which of the following findings should the nurse identify as a complication?
a. Pitting edema around the residual limb dressing
b. Looseness of the residual limb dressing
c. The dressing forms a cone shape over the residual limb.
d. Figure-eight wrapping around the residual limb.
a
A nurse is teaching a client who has a prosthetic limb due to a right below-the-knee amputation about prosthesis and stump care. Which of the following instructions should the nurse include in the teaching?
a Keep the prosthesis in direct contact with the residual limb.
b. Apply a moisturizing lotion or oil to the stump daily.
c. Dry the prosthesis socket completely before applying it to the limb.
d. Expect some skin irritation from the prosthesis.
c
A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?
a. Diarrhea
b. Hematuria
c. Increased thirst
d. Impaired taste
b
A nurse is planning care for a client who has pelvic
fractures and will require bed rest and traction for 4 to 6 weeks. The client is a stay-at-home mother and her husband travels extensively for his job. Which of the following effects should the nurse consider when planning care for the family?
a. Loss of privacy
b. Decrease in income
c. Changes in family members' roles and tasks
d. Loss of autonomy for the children
c
A nurse is caring for a client
who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
a. Hypovolemic shock
b. Fat embolism syndrome
c. Compartment syndrome
d. Venous thromboembolism
b
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