A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?

Encourage the client to talk about his feelings regarding his body image.

Discuss alternative coping strategies to relieve stress he feels about his body image.

Determine the client’s perception of his body image.

Assist the client to acknowledge he has a distorted body image.

Answer and Explanation

The Correct Answer is C

A.   Encouraging the client to talk about his feelings is important, but understanding the client's current perception of his body image comes first to guide appropriate interventions.
B.   Discussing coping strategies is relevant, but understanding the client's current perception helps tailor coping strategies to his specific concerns.
C.   Determining the client's perception of his body image is the first step to assess the extent of the issue and plan interventions accordingly.
D.   Assisting the client to acknowledge a distorted body image may be necessary, but understanding the client's current perception precedes interventions.

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Correct Answer is D

Explanation

A. While the Department of Health and Human Services may play a role, FEMA is the primary agency responsible for coordinating federal disaster response and recovery efforts.
B. The American Red Cross is a humanitarian organization that provides assistance during disasters but is not a government agency like FEMA.
C. The CDC focuses on public health and disease prevention but is not the primary agency for overall disaster response.
D. FEMA is the federal agency responsible for coordinating disaster response and recovery efforts in the United States. Collaboration with FEMA is crucial for an effective emergency response plan.

A. Provide oxygen at 6 L/min via nasal cannula. B. Apply cold compresses to joints. C. Perform passive ROM exercises. D. Administer IV fluids E. Obtain consent for a blood transfusion F. Restrict fluid intake to 1,400 mL/day G. Administer meperidine H. Encouraging bedrest

Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

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A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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