A client who is recovering from a lower extremity amputation complains of tingling and "shooting" pain in the amputated extremity. The nurse knows that which of the following is true about this type of pain?

The pain comes from severed blood vessels in the residual stump.

It is psychosomatic pain that the patient is just imagining.

It is often treated with adjunct medications such as antiepileptics and antidepressants.

It is somatic pain that always responds well to opioid medications.

Answer and Explanation

The Correct Answer is C

A. The pain does not come from severed blood vessels in the residual stump. Phantom limb pain is not caused by the stump itself but rather by the brain’s perception of the missing limb.
B. Phantom limb pain is not psychosomatic. It is a real phenomenon where the brain continues to receive signals from nerves that were previously connected to the amputated limb.
C. Phantom limb pain is often treated with adjunct medications such as antiepileptics (e.g., gabapentin) and antidepressants (e.g., amitriptyline), which help modify the way the brain processes pain signals.
D. While opioid medications can be used for pain management, phantom limb pain often does not respond well to opioids. It typically requires a combination of other treatments, such as those mentioned in C.

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Correct Answer is C

Explanation

A. Hyperactive reflexes are not typically associated with hypokalemia. In fact, hypokalemia can lead to hyporeflexia (decreased reflexes) due to the role of potassium in nerve function.
B. Extreme thirst is more commonly associated with hypernatremia or dehydration, not specifically with hypokalemia.
C. A flattened T-wave on an ECG is a classic sign of hypokalemia. Potassium plays a crucial role in maintaining the electrical activity of the heart, and low potassium levels can cause changes in the ECG, including a flattened T-wave.
D. Hyperactive bowel sounds are typically seen in conditions like gastroenteritis or early bowel obstruction, not directly related to hypokalemia. In fact, hypokalemia can sometimes lead to hypoactive or absent bowel sounds due to its effect on smooth muscle function.

A. Flushed skin B. Confusion C. Extreme thirst D. Fever

Correct Answer is B

Explanation

A. Flushed skin is typically associated with fever or infection, not with hyponatremia (low sodium levels).
B. Confusion is a common symptom of hyponatremia, especially when sodium levels drop significantly. The low sodium level affects brain function, leading to confusion, altered mental status, and even seizures in severe cases.
C. Extreme thirst is more commonly seen in hypernatremia (high sodium levels) as the body attempts to correct the imbalance by stimulating thirst.
D. Fever is not a direct consequence of hyponatremia but could be associated with an underlying infection or other conditions.

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A client who is recovering from a lower extremity amputation complains of tingling and "shooting" pain in the amputated extremity. The nurse knows that which of the following is true about this type of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following adverse findings would the nurse anticipate?

Correct Answer is B

Explanation

The nurse is assessing an elderly client admitted for hyponatremia. Which of the following findings requires immediate intervention?

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

The nurse is planning care for a client with type 1 diabetes mellitus. When planning administration for rapid-acting insulin Lispro, the nurse knows to administer it during which timeframe based on the onset of action?

A nurse is providing education to a client newly prescribed Sulfasalazine and Azathioprine for refractory ulcerative colitis. Which of the following statements by the client indicates that further teaching is required?

A nurse is preparing to administer an infusion of intravenous fluids to a client who is at risk for fluid volume overload. Which of the following manifestations would indicate hypervolemia? (Select all that apply)

The nurse is caring for a client who is admitted with acute dehydration and a serum sodium level of 151mEq/L. The nurse is anticipating the administration of DSW based on which of the following principles?

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