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 B

Explanation

A. Antihistamines typically cause a mild decrease in blood pressure.
B. Antihistamines often have anticholinergic effects, leading to dry mouth.
C. This is not a common adverse effect of antihistamines.
D. Antihistamines are more likely to cause constipation than diarrhea.

A. Limit the number of health care workers entering the room. B. Insert an indwelling catheter to monitor for sediment in the urine. C. Take the client’s temperature once per shift D. Provide the client with fresh fruit to avoid constipation

Correct Answer is A

Explanation

A. Limiting the number of health care workers entering the room helps reduce the risk of exposure to infections.
B. Inserting an indwelling catheter is not a routine intervention for immunosuppressed clients and may increase the risk of infection.
C. Monitoring temperature more frequently than once per shift is crucial to detect early signs of infection in immunosuppressed clients.
D. Fresh fruit may carry a risk of bacterial contamination, and caution should be exercised in providing it to immunosuppressed clients.

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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 collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

Correct Answer is B

Explanation

A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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