Module 7-12 Iggy/ATI/SS Practice Questions And Answers 100% All Verified A+

Module 7-12 Iggy/ATI/SS Practice Questions And Answers 100% All Verified A+ 1 / 10 1. B. Check the position of the weights and ropes The first action the nurse should take when using the nursing process is to assess the client. The nurse should first check the position of the weights and ropes to investigate the cause of the muscle spasms.The weights might be too heavy, or the nurse might need to realign the client. The nurse should reposition the client to realign him and try to relieve his muscle spasms. The nurse should administer a muscle relaxant too minimize muscle spasms.The nurse should provide sensory stimulation to help the client keep his focus away from the pain of the spasms however the nurse would assess first so B is right. 2. C. Request a prescription for gabapentin for the client The nurse should request a prescription for a non-opioid medication to help minimize the phantom limb pain. Gabapentin is an oral anti epileptic medication that is effective for treating sharp, burning, phantom limb pain. It is not therapeutic for the nurse to remind the client that their limb is gone because it does not address the clients pain. Changing the dressing on the clients residual limb does not address the clients pain. The nurse should only elevate the clients residual limb above the heart level within the first 48 hours following the surgery. After that time, doing so can cause a hip or knee flexion contracture. Continues...