Question

nurses tomorow 4. Offer the elient a back ub and a wam cup of milk 24. The client is an elderly man who has had disbetes and peripheral vascular discase for several years. He now has had a right below-the-knee amputation. Which pre-operative nursing action will do most to help the client adjust to having an amputation? 1. Encouraging deep-breathing 2. Asking him if he understands the full effects of the planned surgery 3. Discussing the effects of diabetes on the vascular system 4. Having a recovered amputee visit him 25. The client has returned to the mursing unit following a right below-the-knee amputation. 1. Supine with head turned to the side 2.Place shock blocks under the foot of the bed 3. Semi-Fowler's position with knees bent 4. Left lateral with pillows between the knees 26. The day after an amputation, the client begins to hemorrhage from his stump. What action should the nurse take first? 1. Apply a pressure dressing to the stump. 2. Place a tourniquet above the stump. 3. Notify thee physician. 4. Apply an ice pack to the stump. 27. The client continues to recover followinga below-the-knee amputation. What nursing action should the nurse employ to help prevent the most common complication following leg amputation? 1. Clean the wound with hydrogen peroxide three times a day. 2.Have the client lie prone several times a day. 3. Ask the client to flex and extend the toes on the remaining leg. 4. Encourage the client to completely empty his/her bladder. 28. A young adult is discharged to home with crutches. Which exercise should the nurse teach the client in order to strengthen the triceps muscles for crutch-walking? 1. Pushing the buttocks up off the mattress 2. Pulling the body up, using an overhead trapeze 3. Raising the legs straight up and down 4. Squeezing a rubber ball in each hand 29. The client is ordered to be positioned flat following a myelogram. The nurse understands the primary reason for this is which of the following? 1. To prevent infection 2. To prevent spinal headaches 3.To prevent seizures 4. To promote excretion of dye

Answer 1

24. A client is an elderly man who has had diabetes and peripheral vascular disease for several years. He now has had a right below the knee amputation. Which pre-operative nursing action will do most to help the client adjust to having an amputation?

Ans. Having a recovered amputee visit him helps the most to adjust the client having the amputation. Option 4 is the correct answer.

25. The client has returned to the nursing unit following a right below the knee amputation.

Ans. Place the shock blocks under the foot of the bed to prevent oedema. Option 2 is the correct answer.

26. The day after an amputation, the client begins to haemorrhage from his stump.

Ans. Place a tourniquet above the stump is the best action, tourniquet application is indicated here. Option 2 is the correct answer.

27. The client continues to recover following a below the knee amputation.

Ans. Have the client lie prone several times a day helps the client to prevent flexion contracture of the knee or hip. Option 2 is the correct answer.

28. A young adult is discharged to home with crutches.

Ans. Squeezing a rubber ball with each hand strengthens finger flexors. Option 4 is the correct answer.

29. The client is ordered to be positioned flat following a myelogram.

Ans. To prevent seizures in a water-based dye. Fluids are encouraged to promote the elimination of the dye. Option 3 is the correct answer.