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

Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B: While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C: Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D: Overhead loudspeakers may cause agitation and confusion in clients with dementia.

A. Acetaminophen B. Celecoxib C. Hyaluronic acid D. Ibuprofen

Correct Answer is A

Explanation

A. Acetaminophen is often the initial choice for managing osteoarthritis pain in older adults due to its lower risk of gastrointestinal and cardiovascular side effects.
B. Celecoxib and ibuprofen are NSAIDs that may be considered but are associated with a higher risk of side effects, especially in older adults.
C. Hyaluronic acid injections are typically considered if oral medications are not effective, and the patient has persistent symptoms.
D. Ibuprofen is an NSAID and is associated with increased risk of gastrointestinal bleeding and renal impairment hence is not considered as a first line management of osteoarthritis.

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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 contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse in a clinic is collecting data from an older adult client who has a new diagnosis of osteoarthritis. Which of the following medications should the nurse anticipate the provider will initially prescribe to the client?

Correct Answer is A

Explanation

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