A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:

prevents bleeding and covers the incision.

decreases phantom limb pain.

limits the formation of blood clots.

shapes the soft tissue and minimizes edema.

Answer and Explanation

The Correct Answer is D

A.   While wrapping the stump can help secure a dressing and protect the incision, the primary purpose of the elastic bandage is not to prevent bleeding. Instead, it helps to manage swelling and shape the residual limb.
B.   Phantom limb pain is a sensation where individuals feel pain in the area where the limb once was. While some patients report relief from phantom pain with various techniques, wrapping the stump is not specifically designed for this purpose. Other interventions are more effective for managing phantom limb pain.
C.   Elastic bandaging does not specifically limit the formation of blood clots in the context of an amputation stump. While proper limb positioning and movement can help prevent clot formation, the main purpose of the bandage is not related to clot prevention.
D.   The primary purpose of wrapping the stump with an elastic bandage is to shape the soft tissue and control edema (swelling). Proper compression helps reduce swelling, encourages the soft tissue to conform to the desired shape for fitting a prosthesis later, and aids in healing.

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Correct Answer is B

Explanation

A. Sun exposure is not related to drug metabolism, and excessive sun exposure can be harmful.
B. Increasing fluid intake can help prevent kidney damage, a potential side effect of trimethoprim- sulfamethoxazole.
C. While it's important to take medications consistently, there's no specific requirement to take trimethoprim-sulfamethoxazole at the same time as hydrochlorothiazide. The dosing schedule should be as prescribed by the healthcare provider.
D. Kaopectate can interfere with the absorption of certain medications and may not be effective in preventing diarrhea caused by trimethoprim-sulfamethoxazole.

A. an upper urinary tract infection B. decreased caloric intake C. aerobic exercise D. clogged tubing of a subcutaneous insulin pump E. not taking sufficient insulin

Correct Answer is ["A","B","D","E"]

Explanation

A. Infections, including urinary tract infections, can increase insulin resistance and elevate blood glucose levels, potentially leading to DKA. The stress response from infection can also increase cortisol levels, further contributing to hyperglycemia.
B. Decreased caloric intake can lead to inadequate insulin levels relative to the body’s needs. In Type 1 diabetes, if insulin is not sufficient to metabolize glucose (due to low intake or other reasons), the body may resort to fat metabolism, leading to the production of ketones and the development of DKA.
C. While exercise can affect blood glucose levels, it typically lowers them and is not a direct cause of DKA. In fact, moderate aerobic exercise is usually encouraged for managing diabetes. However, if blood glucose levels are already high before exercise, it may exacerbate the situation, but aerobic exercise itself is not a cause of DKA.
D. Clogged tubing can prevent insulin delivery, leading to insufficient insulin levels. This lack of insulin can result in elevated blood glucose levels and, ultimately, the risk of DKA if not addressed.
E. Not taking enough insulin is a primary cause of DKA in Type 1 diabetes. Without adequate insulin, the body cannot utilize glucose properly, leading to increased fat metabolism and the production of ketones, which can cause DKA.

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A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:

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Naxlex Comprehensive Predictor Exams

The client is receiving a trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?

Correct Answer is B

Explanation

The nurse is teaching an adult client with Type 1 diabetes that causes for the development of diabetic ketoacidosis (DKA) are (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D","E"]

Explanation

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What clinical manifestation(s) should the nurse expect in a client with uncontrolled diabetes mellitus and ketoacidosis? (SELECT ALL THAT APPLY)

A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:

The nurse explains to a client that an oral antihypoglycemic agents are not effective in Type I diabetes because people with Type I diabetes:

A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within: