A client in the PACU with a left below-the-knee amputation complains of pain in her left big toe. Which of the following would the nurse do first?

Show the patient that her leg is gone

Administer the prescribed pain medication

Explain and educate the patient that the pain is real

Tell the patient that it is not possible to feel pain in her toes

Answer and Explanation

The Correct Answer is B

Choice A reason: Showing the patient that her leg is gone does not address the immediate concern of pain management.

Choice B reason: Administering the prescribed pain medication is the first step in managing phantom pain, which is a common experience for amputees.

Choice C reason: While it is important to validate the patient's experience of pain, the first action should be to address the pain medically.

Choice D reason: Telling the patient that it is not possible to feel pain in her toes is incorrect and dismissive of the phenomenon of phantom pain.

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Correct Answer is B

Explanation

Choice A reason: Instructing the client to cut back to one or two drinks per day may not be eﬀective for someone with cirrhosis, as any amount of alcohol can be harmful.

Choice B reason: Educating the client about the disease and the specific risks associated with alcohol consumption can provide the motivation needed to make a change.

Choice C reason: Introducing the client to other people who do not drink alcohol could provide social support, but it is not the primary step in motivating change.

Choice D reason: Telling the client that their liver has been destroyed by alcohol might be factual, but it is not a constructive approach to motivate change.

A. "It is okay to take aspirin with GERD." B. "You should avoid possible mercury-containing foods such as some seafood because of their risk to GERD." C. "There is no causal link between lying down after eating and increased onset of GERD." D. "You should avoid or cut down on alcohol and caﬀeine which can aggravate GERD."

Correct Answer is D

Explanation

Choice A reason: Aspirin can irritate the stomach lining and increase acid reﬂux, worsening GERD symptoms. It is generally not recommended without consulting a healthcare provider.
Choice B reason : Mercury content in seafood is not directly linked to GERD. This statement is misleading and does not address known risk factors for GERD.
Choice C reason : Lying down after eating can indeed increase the onset of GERD as it allows stomach contents to ﬂow back into the esophagus more easily.
Choice D reason : Alcohol and caﬀeine can relax the lower esophageal sphincter, allowing stomach acid to rise into the esophagus and worsen GERD symptoms. Therefore, it is advisable to avoid or reduce their intake.

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A client in the PACU with a left below-the-knee amputation complains of pain in her left big toe. Which of the following would the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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