100% Correct Answers.
the nurse instructs the client with right below knee amputation to lie on his stomach, the pt asks why? -
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 - 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 - 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 - 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 - Answer A
A is correct because we need more info. Circulation is ABC priority
Pt has fracture of left tibia and fibula, which should be reported immediately?
a. Generalized weakness and increased touch sensitivity
b. Dorsalis pedal pulse cannot be located and increased pain
c. Localized edema and discoloration hours after injury
d. Pain relief after taking meds - Answer B
B is correct because circulation is ABC priority
UAP reports client with fractured femur has globs floating in urine, which intervention should nurse
implement FIRST?