A nurse is preparing for a home visit with a client who is postoperative following an above-the-knee amputation. Which of the following questions should the nurse plan to ask first?
"Have you scheduled an appointment with the prosthetist?"
"Do you feel your pain is controlled well?
"Are you aware of any support groups in the area?"
"Have you been exercising your other extremities?"
The Correct Answer is B
A. While scheduling an appointment with the prosthetist is important, the client's comfort and pain control take precedence, especially in the immediate postoperative period. Addressing pain concerns is a priority to ensure the client's well-being.
B. "Do you feel your pain is controlled well?" is the first question to ask. Assessing pain is crucial to understanding the client's level of comfort and ensuring that appropriate measures are in place for pain management. This information can guide further interventions and adjustments to the care plan.
C. Inquiring about support groups in the area is an important aspect of the client's overall well-being and adjustment to the amputation. However, pain control is an immediate concern, and addressing it takes precedence during the initial home visit.
D. Asking about exercising other extremities is relevant for the client's overall mobility and
rehabilitation. However, pain control assessment should be prioritized as it directly impacts the client's ability to participate in rehabilitation activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A.While it is important to have nonperishable food items, they should generally be checked and rotated every 6 months to a year to ensure they remain within expiration dates and to maintain freshness. Depending on storage conditions, some items may degrade sooner, so this timeframe may be insufficient.
B.In a disaster situation, access to pharmacies may be limited, so having a backup supply of essential nonprescription medications like pain relievers, antacids, and allergy medications is essential. This ensures that individuals have what they need to manage minor health issues without needing immediate access to stores.
C.Current recommendations typically advise having enough supplies for at least 3 days (72 hours) to a week, as this is generally the period required before external help may arrive during a disaster. While gathering supplies for two weeks can be helpful, it may not be feasible for everyone due to storage limitations.
D.The recommended amount of water for emergency situations is 1 gallon (approximately 3.8 liters) per person per day, which accounts for drinking and basic hygiene needs. Two liters would not be sufficient for most people’s daily water needs during an emergency.
Correct Answer is E
Explanation
Administer the medication twice daily.
Incorrect. The prescription specifies TID (three times daily), not twice daily.
Administer the medication as needed for pain.
Incorrect. The prescription provides specific dosing instructions (100 mg now, then 50 mg TID with food), and it is not meant for administration as needed.
Administer the medication 2 hr after meals.
Incorrect. The prescription specifies that indomethacin should be taken with food, so administering it 2 hours after meals is not in accordance with the instructions.
Administer a loading dose of 100 mg PO.
Incorrect. The initial dose of 100 mg is not considered a loading dose but rather the first dose in the prescribed regimen.
Administer the medication with a snack.
Correct. The prescription indicates that indomethacin should be taken with food. Administering
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