A nurse is preparing for a home visit with a client who is postoperative following an above-the-knee amputation. Which of the following questions should the nurse plan to ask first?
"Have you scheduled an appointment with the prosthetist?"
"Do you feel your pain is controlled well?
"Are you aware of any support groups in the area?"
"Have you been exercising your other extremities?"
The Correct Answer is B
A. While scheduling an appointment with the prosthetist is important, the client's comfort and pain control take precedence, especially in the immediate postoperative period. Addressing pain concerns is a priority to ensure the client's well-being.
B. "Do you feel your pain is controlled well?" is the first question to ask. Assessing pain is crucial to understanding the client's level of comfort and ensuring that appropriate measures are in place for pain management. This information can guide further interventions and adjustments to the care plan.
C. Inquiring about support groups in the area is an important aspect of the client's overall well-being and adjustment to the amputation. However, pain control is an immediate concern, and addressing it takes precedence during the initial home visit.
D. Asking about exercising other extremities is relevant for the client's overall mobility and
rehabilitation. However, pain control assessment should be prioritized as it directly impacts the client's ability to participate in rehabilitation activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.2"]
Explanation
To give a client with rheumatoid arthritis a subcutaneous dose of methotrexate 7.5 mg, the nurse needs to calculate the correct volume of the drug solution.
The drug solution has a concentration of 15 mg/0.4 mL, which means that 0.4 mL of the solution contains 15 mg of methotrexate. To find the volume of the solution that contains 7.5 mg of methotrexate, the nurse can use a proportion:
- 15 mg/0.4 mL = 7.5 mg/x mL
Cross-multiplying and solving for x gives:
- x = (0.4 mL x 7.5 mg) / 15 mg
- x = 0.2 mL
Therefore, the nurse should administer 0.2 mL of the drug solution to deliver 7.5 mg of methotrexate subcutaneously.
Correct Answer is ["1.5"]
Explanation
To calculate the volume (mL) that the nurse should administer per dose, you can use the following formula:
Volume (mL) = Dose (mg)/Concentration (mg/mL)
In this case:
- Volume = 500 mg/ 330 mg/mL
- Volume≈1.5mL
Therefore, the nurse should administer approximately 1.5 mL per dose of cefazolin 500 mg IM.
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