A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?

"I am trying to understand why this had to happen to me."

"I dread going to therapy, but I am getting comfortable with my prosthesis."

"My leg looks a little red, but my doctor says it's healing well."

"I may be ready to talk about my leg in a week or so."

Answer and Explanation

The Correct Answer is B

A.   Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance.
B.   Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation.
C.   Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance.
D.   Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.

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Correct Answer is C

Explanation

A. 1+ pitting edema is mild, with a slight indentation.

B. 4+ pitting edema is severe, with a deep indentation that lasts a long time.

C. 3+ pitting edema is moderate, with a deeper indentation that takes some time to rebound.
D. 2+ pitting edema is moderate, with a slight indentation that rebounds fairly quickly.

A. Monitor the client at least once every hr. B. Assign the client to a private room. C. Request a PRN prescription for restraints. D. Keep four side rails up while the client is in bed.

Correct Answer is A

Explanation

A. Monitoring the client at least once every hour is an appropriate safety precaution to assess the client's condition and prevent falls.
B. Assigning the client to a private room may not directly address the risk of falls and may not be necessary for fall prevention.
C. Requesting a PRN prescription for restraints should not be the first line of defense for fall prevention and should only be considered when other interventions are ineffective or inappropriate.
D. Keeping four side rails up while the client is in bed can be a restraint and may increase the risk of injury. It is not a recommended approach for fall prevention.

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A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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