A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?
"I will have to work with a vocational counselor to find out what kinds of jobs I can do.”
"I don't think I will ever be a whole person again."
"I don't feel comfortable socializing with my friends."
"My spouse and I both accept that I am no longer capable of taking care of myself."
The Correct Answer is A
A. This indicates that the client is actively working towards adapting to the changes in their life by exploring options for continuing work and adjusting to the new limitations. Seeking help from a vocational counselor is a positive sign of adjusting to role changes and maintaining a sense of purpose.
B. "I don't think I will ever be a whole person again.": This reflects feelings of hopelessness and a lack of acceptance of the amputation. It suggests that the client has not yet adapted to the role changes and may need further support in adjusting emotionally to the loss.
C. "I don't feel comfortable socializing with my friends.": This response indicates social withdrawal and discomfort, which may suggest difficulty adjusting to the changes in the client's life. It reflects emotional distress and lack of acceptance.
D. "My spouse and I both accept that I am no longer capable of taking care of myself.": While it is important to recognize the need for assistance, this statement indicates a defeatist attitude, implying a loss of independence that could hinder further adaptation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Drink 4 to 6 ounces of juice.": Drinking 4 to 6 ounces of juice, which contains carbohydrates, will quickly raise blood glucose levels. This amount is sufficient to correct mild hypoglycemia.
B. "Consume two glucose tablets and check your blood glucose 1 hour later.": After consuming glucose tablets, the client should check their blood glucose in about 15 minutes, not 1 hour. If blood glucose is still low, more glucose should be consumed sooner.
C. "Consume 1 teaspoon of corn syrup-based glucose gel.": One teaspoon of glucose gel is not enough to treat hypoglycemia. A typical recommendation would be 15-20 grams of fast-acting carbohydrates (e.g., glucose tablets or juice), which is more than 1 teaspoon of gel.
D. "Eat two crackers with peanut butter.": This combination is not ideal for treating hypoglycemia quickly. The protein in peanut butter will slow the absorption of glucose, which delays the correction of hypoglycemia. Fast-acting carbohydrates are preferred for rapid treatment.
Correct Answer is ["C","D","E"]
Explanation
A. Born with a high birth weight: High birth weight is generally not considered a risk factor for hearing loss. In fact, low birth weight, prematurity, or complications during birth are more often associated with an increased risk of hearing issues.
B. Frequent exposure to low-volume noise: Frequent exposure to low-volume noise is not typically a risk factor for hearing loss. However, exposure to loud noises (high volume) over time is a significant risk factor for hearing damage and loss.
C. Use of a loop diuretic: The use of loop diuretics, such as furosemide, is associated with an increased risk of ototoxicity, which can lead to hearing loss. This is a known risk for people taking these medications, especially in high doses or with prolonged use.
D. Chronic infections of the middle ear: Chronic ear infections can lead to hearing loss by damaging the structures of the middle ear or causing scarring. Recurrent middle ear infections, or otitis media, increase the risk of long-term hearing impairment.
E. Perforation of the eardrum: A perforated eardrum can lead to hearing loss, particularly if it affects the middle ear's ability to transmit sound properly. It can also make the ear more susceptible to infections, which could further contribute to hearing loss.
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