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 A

Explanation

A. Teaching the client about maintaining a healthy weight is crucial, especially in preventing the progression from prediabetes to type 2 diabetes. Weight management through diet and exercise can significantly improve insulin sensitivity and glucose control.
B. At a fasting plasma glucose level of 120 mg/dL, the client is not typically at the stage where insulin therapy is necessary. Insulin is usually reserved for individuals with established diabetes, particularly if they are unable to achieve glycemic control through lifestyle changes or oral medications.
C. Similar to option B, the use of oral hypoglycemic agents is not indicated for someone with a fasting glucose of 120 mg/dL. This level suggests prediabetes, and the initial approach is generally focused on lifestyle changes rather than medication.
D. While self-monitoring of blood glucose is important for individuals with diabetes, it may not be the immediate focus for a client with a fasting plasma glucose level of 120 mg/dL unless the physician has indicated a diagnosis of diabetes or if the client has symptoms. In prediabetes, education around lifestyle modifications is typically prioritized.

A. would need so much of an oral antihypoglycemic agent that it would cost too much. B. are allergic to oral antihypoglycemic agents. C. would have more episodes of hypoglycemia with oral antihypoglycemic agents. D. have little or none of their own insulin that can be released.

Correct Answer is B

Explanation

A. The effectiveness of oral antihypoglycemic agents does not depend on dosage amounts that would make them cost-prohibitive. Instead, these medications work by stimulating insulin production or enhancing insulin sensitivity, which is not relevant for Type 1 diabetes.
B. While some individuals may have allergies to certain medications, this is not the reason oral antihypoglycemic agents are ineffective for those with Type 1 diabetes. The ineffectiveness is not related to allergy but rather to the underlying pathology of the disease.
C. While it is true that the risk of hypoglycemia exists with all glucose-lowering therapies, this is not the primary reason why oral antihypoglycemics are ineffective in Type 1 diabetes. The use of these agents may increase hypoglycemia risk in a broader context, but the fundamental issue is related to insulin deficiency.
D. In Type 1 diabetes, the pancreas produces little to no insulin due to autoimmune destruction of insulin-producing beta cells. Oral antihypoglycemic agents typically rely on the presence of some endogenous insulin to be effective.

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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

A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:

The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)

A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

The nurse is caring for a client with a diagnosis of chronic peripheral arterial disease. Which statement by the client warrants immediate intervention by the nurse?

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 administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:

The nurse is teaching an adult client with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:

The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)