A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?

Choice A reason:

The statement “You will be fitted for your permanent prosthesis at the time of surgery” is incorrect. Typically, a temporary prosthesis is used initially after surgery. The permanent prosthesis is fitted later, once the residual limb has healed and any swelling has subsided. This process ensures a better fit and comfort for the client.

Choice B reason:

The statement “You will do muscle strengthening exercises in advance of getting your prosthesis” is correct. Muscle strengthening exercises are crucial for preparing the residual limb and the rest of the body for the use of a prosthesis. These exercises help improve balance, strength, and mobility, which are essential for successful prosthesis use.

Choice C reason:

The statement “The structure of the prosthesis will be adjustable depending on what shoe you are wearing” is incorrect. While some prostheses can accommodate different types of footwear, the structure of the prosthesis itself is not typically adjustable. Clients may need to have different prosthetic feet or adjustments made by a prosthetist to accommodate various shoes.

Choice D reason:

The statement “A special pressure dressing will remain in place even when your limb is healed to cushion your prosthesis” is incorrect. A special pressure dressing, also known as a compression dressing, is used initially after surgery to reduce swelling and shape the residual limb. Once the limb has healed, the dressing is no longer needed. The prosthesis itself will have a socket designed to fit the residual limb comfortably.

Choice A reason:

The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.

Choice B reason:

Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.

Choice C reason:

Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.

Choice D reason:

Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.