answers
the nurse instructs the client with right below knee amputation to lie on
his stomach, the pt asks why? Correct Answer-to prevent contractures
the recovery nurse is caring for a client that had a left below knee
amputation, which intervention should you implement?
a. assess client dressing every 2 hrs
b. don't allow client to see residual limb
c. keep a tourniquet at the bedside
d. perform passing ROM on right leg Correct Answer-C
tourniquet at bedside because we are worried about bleeding. A should
be more often, B is wrong, D is wrong leg and not passive
Which task should the nurse delegate to UAP?
a. Help client with 2 day post op amp put on prosthesis
b. Request UAP double check unit of blood to be hung
c. Change surgical dressing
d. Ask UAP to take client to PT department Correct Answer-D
A, B, C, are all out of their scope of practice
, 32 yo male client with traumatic left above knee amp is being
discharged, which instruction should be included? SATA.
a. Report any pain not reported with analgesics
b. Eat a well balanced diet and increase protein intake
c. Be sure to attend all outpatient rehab appts
d. Encourage client to attend support group for amputations
e. Stay at home as much as possible for the first couple months Correct
Answer-A, B, C, D
A is correct out of concern for compartment syndrome, B is correct bc it
promotes wound healing, C and D are correct bc its proper assimiliation
to new wound
Client is taken to ED with injury to right arm, what is the nurse's
priority?
a. Assess cap refill
b. Remove clothing from arm
c. Prepare client for application of cast
d. Call radiology for immediate x ray Correct Answer-A
A is correct because we need more info. Circulation is ABC priority