A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

Dry the prosthesis socket completely before applying it to the limb.

Apply a moisturizing lotion or oil to the stump daily.

Keep the prosthesis in direct contact with the residual limb.

Expect some skin irritation from the prosthesis.

Answer and Explanation

The Correct Answer is A

A.   Ensuring the prosthesis socket is dry helps prevent skin irritation, discomfort, and the potential for infection.
B.   Applying moisturizing lotion or oil can make the skin too slippery, affecting the fit and function of the prosthesis.
C.   The prosthesis should not be in direct contact with the residual limb; a liner or sock is typically worn.
D.   Skin irritation should be minimized, and any persistent issues should be addressed with the prosthetist. Expecting irritation as a norm is not appropriate.

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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.

A. Nausea and vomiting B. Generalized edema C. Bradycardia D. Urticaria

Correct Answer is B

Explanation

A. Common allergic reactions but not specific to anaphylaxis.
B. Can be a sign of anaphylaxis, reflecting a systemic allergic response.
C. Anaphylaxis is more commonly associated with tachycardia.
D. Hives are a common allergic reaction and can occur in anaphylaxis, but they are not specific to it.

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A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care? Select all that apply.

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

Explanation

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Correct Answer is B

Explanation

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