A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?

If my wife had paid more attention to my blood sugar levels I would not have needed an amputation.

No matter how hard I work in physical therapy I can’t seem to make any progress.

I have not always made good choices in life I deserve to lose my leg.

When I look in the mirror all I see is a person without a leg.

Answer and Explanation

The Correct Answer is D

A.   This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.
B.   This statement may indicate frustration with physical therapy progress but does not directly address body image.
C.   This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D.   This statement directly addresses the client's perception of their body image following the amputation.

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Correct Answer is D

Explanation

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

A. Shake the ampule to move the solution below the neck. B. Snap the top of the ampule towards hands. C. Wear sterile gloves when withdrawing the medication from the ampule. D. Use a filter needle to draw up the medication.

Correct Answer is D

Explanation

A. Shaking the ampule is not necessary and can create air bubbles in the solution.
B. Snapping the top of the ampule towards the hands is not recommended, as it can cause injury. The top should be snapped away from the nurse.
C. Sterile gloves may be worn for other aspects of the procedure, but it is not necessary to wear them specifically when withdrawing medication from the ampule.
D. Using a filter needle helps prevent glass particles from entering the syringe when withdrawing medication from an ampule.

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A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is D

Explanation

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