Question

About Textbook of Basic Nursing, 11th x 1.A elient is experiencing residual limb pain following a srglcal amputation to the right lower extremity below the knee What action by the me paln? a. Have the client "move" the missing limb b. Apply lce packs to the residual limb e. Have the client discass feelings of los d. Present reality and do not support the delusion of sensation 2. The nurse is cartng for a ellent who has had a lower extremity amputation What intervention by the orse will best prevent hip contractureh a Change drains using aseptic technique b. Elevate the foot of the bed. e Inspect the limb for signs of infection d. Do not place a pillow under the residual Itmb 3. The nurse is caring for a client postoperatively who has had cervical decompression What stabements by the clent should the nurse imediately provider? Select all that apply a. Reports of discomfort when moving b. Reports of change in sensation of arms e. Difficulty breathing d. Difficulty moving arms e. No bowel movement for 2 days 4. A client is diaenosed with arthrits and wants to malntain an actve lifestyle What escises should the ause ecommend to the cllee Selet al a Swimming b Jumplng rope e. Bleyeling d Running e Slow walking S The rse is preparng to administer allopurinel for a cient with gout What should the nurse inclede in the instruction a. Use aspirin b Eat foods high ally relleve pa e. Drink at least 3 1 ef fluids each day Aleahnl m in parine. md ile ina thi de nere to search C

add a rationale to each answer

Answer 1

1.Nearly 80 % of people exoerience phantom limb pain after amputation. This can be caused by various triggers like constipation ,smoking, micturation, cold environment, viral infection like herpes.Though the limb is not present the signals sent by brain and spinal cord will make patient sense pain. The management are

• Medication (to relieve pain,antidepressants to relieve tension or stress due to loss of body parts)
• Ice application to soothe the area by decreasing blood supply and the nerve stimuli
• Massage therapy can comfort the patient
• Elevation of the limb on a pillow to prevent edema and discomfort out of it
• Diversional therapy like music can be used

b.Apply ice pack to the residual limb

2.The hip contracture can be prevented by making the patient lie in prone position at least three times a day,do not place pillow below thigh or legs,do not hang the residual limb from bed .All this activity can lead to hip contracture .The nurse can stretch the muscle and joints,Olav patiwnt in prone for 15 minutes

Ans:d.do not place a pillow under the residual limb

3.Spinal decompression is the removal of the part of the spinal disc.The patient may have complications like infection,oozing from surgical site, bison changes, paralysis of upper or lower limb, facial sores,bleeding ,pain at neck.All this can be due to nerve injuries and if not trested properly can lead to permanent loss of function

Ans:Report of change in sensation of arms,difficulty breathing,difficulty moving arms(due to nerve injury)

If patient has not passed stool for a couple of days,it may be a sign of loss of peristaltic function.

4.The patient with arthritis if does exercise can relieve stress,rigidity contracture in muscle and joints.

• Range of motion exercise to relax and enhance movement with circulation
• Aerobic exercise :walking, swimming, can ride a cycle
• Weight training exercise

Ans:swimming, bicycling, walking slowly