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?"

Answer and Explanation

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.

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Correct Answer is C

Explanation

Docusate sodium 200 mg PO at bedtime:

This prescription is clear. It specifies the medication (Docusate sodium), the dose (200 mg), and the time of administration (at bedtime).

Meloxicam 15 mg PO daily:

This prescription is clear. It specifies the medication (Meloxicam), the dose (15 mg), and the frequency (daily).

Regular insulin 8 units subcutaneous before meals:

Regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.

Fentanyl 25 mcg/hr transdermal patch:

Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.

A. Instruct the client to limit flexion of the hips no further than 100". B. Perform range-of-motion exercises every 2 hr. C. Reposition the client every 2 hr. D. Place an abduction pillow between the legs.

Correct Answer is A

Explanation

A. Limiting hip flexion to 100" is an incorrect and potentially unsafe prescription. Such a restriction would severely limit the client's mobility and could impede the recovery process following a total hip arthroplasty. The nurse should clarify this prescription with the provider to ensure that the client is given appropriate instructions for postoperative care.

B. Performing range-of-motion exercises every 2 hours is a standard and appropriate prescription for a postoperative client after a total hip arthroplasty. These exercises help prevent joint stiffness and promote circulation.

C. Repositioning the client every 2 hours is a standard practice to prevent complications such as pressure ulcers and promote comfort and circulation.

D. Placing an abduction pillow between the legs is a common practice after a total hip arthroplasty. It helps maintain proper hip alignment and prevents dislocation of the prosthetic hip joint during the initial postoperative period.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Correct Answer is C

Explanation

A nurse is reviewing the prescriptions for a client who is postoperative following a total hip arthroplasty. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is A

Explanation

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