A nurse is providing teaching for a client who is preparing for a below-the-knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis?
The prosthesis will be adjustable depending on what shoe you are wearing.
"You will do special exercises in advance of getting your prosthesis."
You will be fitted for your prosthesis at the time of surgery.
A special pressure dressing will remain on to cushion your prosthesis.
A special pressure dressing will remain on to cushion your prosthesis.
The Correct Answer is B
Choice A reason:
The statement that the prosthesis will be adjustable depending on what shoe you are wearing is not accurate. Prostheses are custom-made to fit the individual and are not typically adjustable to different shoe types. The fit and alignment of the prosthesis are crucial for comfort and function, and these are not dependent on the footwear.
Choice B reason:
It is true that clients will need to do special exercises in advance of getting their prosthesis. These exercises are designed to strengthen the remaining limb and prepare the body for the use of a prosthesis. They are an essential part of rehabilitation and help ensure the best possible outcome for the client.
Choice C reason:
Clients are not fitted for their prosthesis at the time of surgery. Fitting for a prosthesis typically occurs after the residual limb has sufficiently healed, which can take several weeks. The fitting process involves careful measurement and customization to ensure the prosthesis will be comfortable and functional.
Choice D reason:
While a special dressing is applied postoperatively, its primary purpose is not to cushion the prosthesis. Initially, dressings are used to protect the surgical site, control swelling, and promote healing. The prosthesis is fitted after the residual limb has healed, and at that time, different types of socket liners may be used for cushioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Kernig's sign is associated with meningitis and is not related to the symptoms of tingling sensations that can occur after a subtotal thyroidectomy. This sign is elicited by extending the client's leg at the knee while the hip is flexed, which would not be relevant in this case.
Choice B reason:
Brudzinski's sign is another indicator of meningitis and involves involuntary flexion of the hips and knees when attempting to flex the client's neck. Similar to Kernig's sign, it is not pertinent to the postoperative symptoms of a subtotal thyroidectomy.
Choice C reason:
Chvostek's sign is a clinical sign of existing neuromuscular irritability seen in hypocalcemia, which can occur after thyroid surgery due to accidental removal or damage to the parathyroid glands. Tapping on the facial nerve triggers twitching of the facial muscles, which correlates with the tingling sensations reported by the client.
Choice D reason:
Babinski's sign is used to assess neurological function, particularly of the central nervous system, and is not related to the symptoms of hypocalcemia. It involves stroking the sole of the foot to observe the toes' movements, which would not provide information about the tingling sensations the client is experiencing.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: Thyroid stimulating hormone (TSH)
TSH levels can affect sexual function. Both hyperthyroidism and hypothyroidism can lead to ED. Hyperthyroidism can cause premature ejaculation, while hypothyroidism can reduce libido and cause ED. Therefore, assessing thyroid function is important in the evaluation of ED.
Choice B reason: Blood glucose
Diabetes mellitus is a common cause of ED. High blood glucose levels can damage blood vessels and nerves that control erection. Therefore, testing for diabetes with a blood glucose test is a standard part of the ED evaluation.
Choice C reason: Partial thromboplastin time (PTT)
PTT is not typically used to evaluate ED. It measures the time it takes for blood to clot and is usually used to assess bleeding disorders or the effectiveness of blood-thinning medication.
Choice D reason: Testosterone
Low testosterone levels can lead to a decrease in sexual desire and ED. Testosterone replacement therapy may improve the situation if this is the case. Hence, measuring testosterone levels is a critical part of the ED workup.
Choice E reason: Total cholesterol
High cholesterol can lead to atherosclerosis, which can impede blood flow to the penis and cause ED. Therefore, a lipid profile, including total cholesterol, is often checked when evaluating ED.
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