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 B

Explanation

A. While claudication (muscle cramps with exercise) is common in earlier stages of PAD, it typically occurs in stage II. In stage III, pain often occurs at rest rather than with exertion.
B. In stage III PAD, patients often report rest pain, which can manifest as burning pain in the legs or feet, particularly at night when lying down. This is a hallmark symptom of advanced PAD due to inadequate blood flow.
C. While diminished pulses (like +1) can be found in PAD, this finding alone is not specific to stage III. In advanced stages, pulses may be even weaker or absent.
D. Blackened tissue (necrosis or gangrene) indicates a more severe stage (stage IV) of PAD, where there is critical limb ischemia and tissue death due to a lack of blood flow. Stage III may involve severe pain but usually does not have necrosis.

Correct Answer is ["37.5"]

Explanation

Drip rate (drops per minute) = (Volume to be infused (mL) x Drop factor) / Time (minutes)

3 hours = 3 * 60 = 180 minutes
Drip rate = (450 mL x 15 drops/mL) / 180 minutes Drip rate = 6750 / 180
Drip rate = 37.5 drops per minute
Therefore, the nurse should regulate the IV at a rate of 37.5 drops per minute.

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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's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?

Correct Answer is B

Explanation

A client is ordered 450 ml of Normal Saline Solution over 3 hours. The drop factor on the IV tubing is 15 drops per ml. At what rate should the nurse regulate the IV?

Correct Answer is ["37.5"]

Explanation

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