A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?

If my wife had paid more attention to my blood sugar levels I would not have needed an amputation.

No matter how hard I work in physical therapy I can’t seem to make any progress.

I have not always made good choices in life I deserve to lose my leg.

When I look in the mirror all I see is a person without a leg.

Answer and Explanation

The Correct Answer is D

A.   This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.
B.   This statement may indicate frustration with physical therapy progress but does not directly address body image.
C.   This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D.   This statement directly addresses the client's perception of their body image following the amputation.

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Correct Answer is C

Explanation

A. While blood pressure changes may occur with aging, it is not a direct cause of dehydration.
B. Older adults tend to have a decrease in the percentage of body water, contributing to a higher risk of dehydration.
C. Aging can lead to a decrease in renal function, affecting the body's ability to concentrate urine and conserve water.
D. Saliva production typically decreases with aging and is not a significant factor in dehydration.

A. A single dose of diazepam is unlikely to cause side effects. B. Diazepam can cause drowsiness. C. Avoid foods that contain tyramine. D. Grapefruit juice inactivates this medication.

Correct Answer is B

Explanation

A. Diazepam can cause side effects, especially drowsiness, even with a single dose.
B. One of the common side effects of diazepam is drowsiness, and the client should be advised not to operate heavy machinery or engage in activities requiring alertness until the effects are known.
C. Avoiding foods that contain tyramine is more relevant for certain antidepressant medications, not diazepam.
D. Grapefruit juice is known to interact with certain medications, but it does not inactivate diazepam.

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A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

Correct Answer is B

Explanation

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