The nurse is providing care for a patient after an above-the-knee amputation due to diabetes complications. Which nursing care is essential for promoting ambulation?
Lying prone as prescribed.
Promoting coordination exercises.
Building upper body strength.
Maintaining residual limb elevation.
The Correct Answer is C
Choice A reason: Lying prone may be part of the care plan but is not specifically aimed at promoting ambulation.
Choice B reason: Coordination exercises are important but secondary to building the strength necessary for using mobility aids.
Choice C reason: Building upper body strength is essential for a patient who has had an above-the-knee amputation to be able to use assistive devices for ambulation effectively.
Choice D reason: Maintaining residual limb elevation is important for reducing swelling but does not directly promote ambulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Recurrent thoughts of past trauma are more indicative of post-traumatic stress disorder rather than schizophrenia.
Choice B reason: Inventing new words or phrases that have no meaning, also known as neologisms, is a common positive symptom of schizophrenia.
Choice C reason: A preoccupation with washing and folding clothes is not specifically indicative of schizophrenia; it could be a sign of obsessive-compulsive disorder.
Choice D reason: While social withdrawal can be a symptom of schizophrenia, it is considered a negative symptom, not a positive one.
Correct Answer is B
Explanation
Choice A reason: Purple lesions could be associated with more severe venous disease or other conditions, not necessarily minor chronic venous disease.
Choice B reason: Ankle edema is a common finding in chronic venous disease due to the pooling of blood in the lower extremities.
Choice C reason: Telangiectasias, also known as spider veins, are commonly seen in chronic venous disease as they are small, visible blood vessels that can be part of the condition.
Choice D reason: Palpable nodules are not typically associated with minor chronic venous disease and could indicate other medical issues.
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