The nurse is speaking to an adolescent client with osteosarcoma and who is scheduled for a surgical procedure of a left leg amputation In 2 days. The nurse's approach should include which action?

Encouraging the client to express feelings and concerns about the upcoming procedure.

Encouraging the client to resume normal physical activities immediately after surgery.

Assisting the adolescent in accepting the procedure as better than a long course of chemotherapy

Avoiding the topic of the procedure to prevent causing distress to the client.

Answer and Explanation

The Correct Answer is A

A.   The nurse should encourage open communication and allow the adolescent to express their emotions about the amputation. This provides emotional support and helps the child process the upcoming surgery.
B.   Encouraging immediate return to physical activities may not be realistic or helpful right after surgery.
C.   Assisting the adolescent in accepting the procedure as a better alternative to chemotherapy may minimize the emotional aspects of the situation and is not an ideal approach.
D.   Avoiding the topic of the procedure can increase anxiety and delay the emotional preparation needed for the surgery.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Elevating the legs on a pillow helps reduce swelling and discomfort while the cast is healing.
B. Heat therapy should not be applied to the casted area, as it could cause skin irritation or burns.
C. Casts should not be removed for bathing unless specifically ordered by the provider.
D. Encouraging the infant to crawl or bear weight on the affected leg is not appropriate until the cast is removed and healing is complete.

A. Administer bisphosphonate medications to increase bone density. B. Encourage the use of assistive devices such as crutches or wheelchairs. C. Apply heat to painful areas to relieve discomfort. D. Encourage resistance band exercises E. Provide a safe environment to prevent fractures.

Correct Answer is ["A","B","E"]

Explanation

A. Bisphosphonates help increase bone density and reduce the frequency of fractures in children with osteogenesis imperfecta.
B. Assistive devices like crutches or wheelchairs help reduce the risk of fractures by providing support and reducing the load on fragile bones.
C. Heat is not a standard intervention for osteogenesis imperfecta. The child’s bones are fragile, and
applying heat may not be beneficial and could cause further injury.
D. Resistance exercises are not recommended for osteogenesis imperfecta, as they could lead to fractures due to the fragile nature of the bones.
E. Ensuring a safe environment to prevent falls and fractures is essential in managing osteogenesis imperfecta.

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The nurse is speaking to an adolescent client with osteosarcoma and who is scheduled for a surgical procedure of a left leg amputation In 2 days. The nurse's approach should include which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for an infant with new casts for the treatment of club foot. Which intervention is appropriate in promoting the infant's comfort and preventing complications?

Correct Answer is A

Explanation

A nurse is caring for a child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY

Correct Answer is ["A","B","E"]

Explanation

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