A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?

"I am trying to understand why this had to happen to me."

"I dread going to therapy, but I am getting comfortable with my prosthesis."

"My leg looks a little red, but my doctor says it's healing well."

"I may be ready to talk about my leg in a week or so."

Answer and Explanation

The Correct Answer is B

A.   Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance.
B.   Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation.
C.   Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance.
D.   Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.

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Correct Answer is C

Explanation

A. Telling the child that it will not hurt may not be effective, as children may still have anxiety or fear related to the unknown.

B. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure.
C. Allowing the child to operate the equipment can give the child a sense of control and involvement, increasing cooperation.
D. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.

A. Ask the assistive personnel to witness the wasting of the controlled substance. B. Dispose of the wasted medication into a sharps container. C. Record the amount of medication wasted on the controlled substance inventory record. D. Return the unused portion of the medication to the pharmacy.

Correct Answer is C

Explanation

A. Controlled substances typically require a licensed nurse or provider to witness the wasting, not assistive personnel.
B. Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object.
C. Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation.
D. Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.

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A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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