A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

"Your pain will gradually become less severe."

The pain will disappear soon."

"it's likely that you will have only a tingling sensation."

"Phantom pain is mostly psychological.

Answer and Explanation

The Correct Answer is A

A. "Your pain will gradually become less severe." This statement is accurate and provides realistic expectations for the client. After an amputation, there will be initial post operative pain, but it should gradually decrease over time.

B. "The pain will disappear soon." This statement is not accurate. While the pain will eventually decrease, it may not completely disappear immediately after the procedure.

C. "It's likely that you will have only a tingling sensation." This statement is not accurate. While some clients may experience tingling sensations, it is not the only sensation they may feel, and this statement does not cover the full range of possible experiences.

D. "Phantom pain is mostly psychological." This statement is not accurate. Phantom pain is a real sensation that some individuals experience after an amputation. It is believed to be related to nerve endings that continue to send signals to the brain even though the limb is no longer present. It is not purely psychological.

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Correct Answer is ["63"]

Explanation

- To calculate the gtt/min, use the formula: gtt/min = (volume in mL x drop factor in gtt/mL) / time in min

- Substitute the given values: gtt/min = (250 mL x 15 gtt/mL) / 60 min - Simplify and round: gtt/min = 62.5 gtt/min ≈ 63 gtt/min

- The nurse should set the manual IV infusion to deliver 63 gtt/min

A. Inability to move toes. B. Pallor of the toes. C. Change in temperature of the toes. D. Edema of the toes.

Correct Answer is B

Explanation

A. Inability to move toes may be a sign of tightness in the cast, but it is not the first finding to be expected if the cast is too tight.

B. Pallor of the toes indicates compromised blood flow and is the earliest sign of circulatory impairment due to tightness of the cast.

C. Change in temperature of the toes may be a sign of impaired circulation, but it is not the earliest finding to be expected.

D. Edema of the toes may occur as a result of compromised circulation, but it is not the first finding to be expected if the cast is too tight.

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A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["63"]

Explanation

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

Correct Answer is B

Explanation

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