A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following instructions should the nurse include?
"Keep initial pressure dressing in place for 1 week after surgery."
"Leave the prosthesis in place when going to bed."
"Avoid extension of the hips when lying down."
"Clean the prosthesis using a damp, soapy cloth."
The Correct Answer is B
The correct answer and explanation is:
b. "Leave the prosthesis in place when going to bed."
The nurse should instruct the client to leave the prosthesis in place when going to bed. This is because some individuals may need to wear their prosthesis during sleep to maintain body alignment, prevent contractures, and promote independence. However, it is important to note that this instruction may vary depending on the individual's specific situation and the recommendation of their healthcare provider.
Explanation for the other options:
a. "Keep initial pressure dressing in place for 1 week after surgery." After an above-the-knee amputation, the initial pressure dressing is typically removed within the first few days after surgery, and the wound is then managed with appropriate dressings. The specific duration of dressing use may vary based on the surgeon's preference and the healing progress of the wound.
c. "Avoid extension of the hips when lying down." While maintaining proper body positioning and avoiding excessive hip extension is important for individuals with an above-the-knee amputation, this instruction does not specifically address the use of a prosthesis.
d. "Clean the prosthesis using a damp, soapy cloth." Cleaning the prosthesis using a damp, soapy cloth can be a part of routine prosthesis maintenance, but it is important to follow the manufacturer's instructions and any specific guidelines provided by the prosthetist or healthcare provider. The cleaning method may vary depending on the type of prosthesis and materials used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should administer bronchodilators first for severe wheezing. Bronchodilators work by relaxing the muscles in the airways, which helps to open them up and make it easier to breathe.
Option b is incorrect because beta blockers are not typically used to treat asthma and can actually worsen symptoms in some clients.
Option c is incorrect because inhaled steroids are used to reduce inflammation in the airways over time and are not typically used for immediate relief of severe wheezing.
Option d is incorrect because anti-inflammatory agents are used to reduce inflammation in the airways over time and are not typically used for immediate relief of severe wheezing.
Correct Answer is B
Explanation
A nurse providing preoperative teaching for an adolescent who is scheduled for a cardiac catheterization should include the instruction that the client can take a shower 1 day after the procedure. This is a common instruction following cardiac catheterization.
The other options are not correct.
a) A client can usually resume a regular diet immediately after their procedure, not 3 days after.
c) A client should not begin exercising 2 days after their procedure,but should gradually increase their activity level until they reach their normal activity level within one week after the procedure.
d) A client can usually return to school within a few days after their procedure, not 1 week after.
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