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","B","E"]

Explanation

A. Insulin glargine is a long-acting insulin that provides a steady release of insulin without a pronounced peak. This characteristic helps reduce the risk of hypoglycemia compared to shorter-acting insulins, making it an important point to educate the client on.
B. It is important for individuals with diabetes to monitor their blood glucose levels before and after exercise, as physical activity can significantly affect glucose levels. This practice helps the client avoid hypoglycemia during and after exercise, especially if they are on insulin.
C. Clients should monitor their blood glucose levels more frequently than weekly, especially if they are on insulin. Daily monitoring is typically recommended, especially if there are changes in diet, activity level, or medications. Weekly checks may not provide adequate insight into glucose control.
D. Partially correct but not a primary focus for immediate discharge teaching. While monitoring for microalbuminuria is important for long-term kidney health, it is not typically a direct action related to daily management. This would be part of routine assessments rather than immediate discharge instructions.
E. Rotating injection sites is crucial to prevent lipodystrophy and ensure consistent absorption of insulin. Educating the client on proper injection techniques, including site rotation, is essential for effective insulin management.

A. Platelet count of 148,000 uL B. Prothrombin Time (PT) of 14 seconds C. Activated Partial Thromboplastin Time (aPTT) of 25 seconds D. D-dimer of 500 ng/mL

Correct Answer is D

Explanation

A. This is a normal platelet count and is not directly related to DVT.
B. This is a normal PT result and does not indicate a clotting disorder that would predispose the client to DVT.
C. This is a normal aPTT result and does not indicate a clotting disorder that would predispose the client to DVT.
D. D-dimer is a marker of blood clot breakdown. An elevated D-dimer level suggests the presence of a blood clot, making it the most concerning laboratory result in this case.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discharging a client who was just prescribed insulin glargine daily at 2100. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

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

Explanation

The nurse is caring for a client who is being evaluated for possible deep vein thrombosis of the right extremity. Which laboratory result is of most concern to the nurse?

Correct Answer is D

Explanation

The nurse administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:

What clinical manifestation(s) should the nurse expect in a client with uncontrolled diabetes mellitus and ketoacidosis? (SELECT ALL THAT APPLY)

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A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about

The nurse is teaching an adult client with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:

The nurse is teaching an adult client with Type 1 diabetes that causes for the development of diabetic ketoacidosis (DKA) are (SELECT ALL THAT APPLY)