A client who is to have an amputation of the lower extremity asks the nurse. "How much of my leg will the doctor have to amputate?" The nurse's response is based on the knowledge that the level of amputation is determined by the:

ease with which a prosthesis can be fitted.

adequacy of the blood supply to the stump for healing.

need to remove as much of the leg as possible.

client's ability to walk with a prosthesis.

Answer and Explanation

The Correct Answer is B

A.   While the ease of fitting a prosthesis is a consideration, it is not the main factor. The level of amputation is primarily determined by medical considerations, particularly related to health and healing.
B.   This is the primary determinant for the level of amputation. Surgeons aim to preserve as much limb length as possible while ensuring that the remaining tissue has adequate blood supply for healing.

Insufficient blood supply can lead to complications, including poor healing and infection, making this a critical factor in deciding the amputation level.
C.   This option suggests a more aggressive approach than necessary. The goal is to remove only as much of the limb as required to address the medical issue (e.g., disease, trauma) while preserving as much healthy tissue as possible for optimal healing and function.
D.   While a client’s functional ability with a prosthesis is an important consideration in rehabilitation planning, it is not the main factor in deciding the surgical level of amputation. The decision about how much limb to remove is made based on medical criteria, particularly healing potential.

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Correct Answer is A

Explanation

A. This is correct because clopidogrel is a blood thinner, and a common side effect is bleeding, which can manifest as black or bloody stools.
B. While this is general advice for people taking certain medications, it's not specifically related to clopidogrel.
C. There are no specific dietary restrictions for clopidogrel, and it can be taken with or without food.
D. Clopidogrel is often prescribed with low-dose aspirin to further reduce the risk of blood clots. However, it's important to consult with a healthcare provider before taking any new medications, including aspirin, while on clopidogrel.

A. Notify the physician since this is a sign of deterioration. B. Offer the client back massage to reduce the pain. C. Place the client in prone position to limit vesicoureteral reflux. D. Offer the client an analgesic if prescribed.

Correct Answer is D

Explanation

A. While costovertebral tenderness is significant and indicates kidney involvement, it is a common symptom of acute pyelonephritis and not necessarily a sign of deterioration. Immediate notification may not be warranted unless other concerning symptoms are present.
B. Although back massage may seem comforting, it is not indicated in this scenario. The kidneys are inflamed, and massage could exacerbate pain or discomfort. It does not address the underlying condition or the pain effectively.
C. The prone position is not typically recommended for clients with pyelonephritis. Instead, the client may be more comfortable in a position that does not put pressure on the kidneys, such as sitting up or lying on their back or side. This intervention does not directly address the pain or comfort of the client.
D. Offering an analgesic is the most appropriate action. Pain management is crucial for the comfort of the client, and an analgesic can help alleviate the discomfort associated with costovertebral tenderness. If the physician has prescribed an analgesic, administering it would be in line with promoting comfort and addressing the client’s needs.

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A client who is to have an amputation of the lower extremity asks the nurse. "How much of my leg will the doctor have to amputate?" The nurse's response is based on the knowledge that the level of amputation is determined by the:

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Naxlex Comprehensive Predictor Exams

The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?

Correct Answer is A

Explanation

A 72-year-old client is admitted to the medical-surgical unit with a diagnosis of acute pyelonephritis. The client complains of costovertebral tenderness. What it the most appropriate nursing intervention?

Correct Answer is D

Explanation

The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:

The nurse is caring for a client who has returned to the nursing unit from the post anesthesia care unit (PACU) 40 minutes ago following an above the knee amputation (AKA) of the right leg. In which position should the nurse place the client at this time?

The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)

Ten minutes after initiating an intravenous antibiotic, the client complains of shortness of breath, itching, and difficulty swallowing. What is the nurse's initial action?

A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:

The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

The nurse is caring for a client who is three hours postoperative left leg below the knee amputation (BKA). The client tells the nurse. "My left foot is killing me. Please do something!" Which intervention should the nurse implement?