A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?

"This will help to decrease the frequency of dressing changes."

"This will improve your ability to ambulate sooner."

"This will decrease the chance of you experiencing phantom limb pain."

"Placing this now will improve the fit of the prosthesis."

Answer and Explanation

The Correct Answer is B

A. "This will help to decrease the frequency of dressing changes." The placement of a prosthesis does not impact the frequency of dressing changes, which are based on wound care needs.

B. "This will improve your ability to ambulate sooner." Early prosthesis placement can aid in quicker rehabilitation and earlier ambulation.

C. "This will decrease the chance of you experiencing phantom limb pain." Prosthesis placement does not necessarily decrease the occurrence of phantom limb pain, which is a common phenomenon after amputation.

D. "Placing this now will improve the fit of the prosthesis." The fit of the prosthesis is more related to the residual limb's healing and shaping, not necessarily the timing of initial placement.

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Correct Answer is B

Explanation

A. Ultrasound: Ultrasound can be used to visualize soft tissue injuries and fluid accumulation but is not typically the first choice for long-term joint issues.
B. Arthroscopy: Arthroscopy is a minimally invasive procedure that allows direct visualization and treatment of joint problems. It is likely to be prescribed because it can help diagnose persistent pain and swelling in the knee.
C. Serum Alkaline Phosphatase Test: This blood test is used to evaluate bone growth and liver function. It is not specific for diagnosing joint pain or swelling.
D. Bone Biopsy: A bone biopsy is used to diagnose bone infections or cancer, which are not indicated in this scenario of persistent knee pain and swelling after an injury.

A. (Select All that Apply.) B. Check the client's toes for color, temperature, and sensation. C. Elevate the client's foot. D. Apply a compression bandage or ace wrap to the client's ankle. E. Encourage range of motion of the client's foot and ankle.

Correct Answer is ["A","B","C"]

Explanation

A. Check the client's toes for color, temperature, and sensation. This assessment ensures that there is no neurovascular compromise, which is crucial for detecting complications like compartment syndrome.

B. Elevate the client's foot. Elevation reduces swelling and helps decrease pain and inflammation.

C. Apply a compression bandage or ace wrap to the client's ankle. Compression helps reduce swelling and provides support to the injured area.

D. Encourage range of motion of the client's foot and ankle. Encouraging range of motion immediately after an acute injury can exacerbate pain and swelling. Immobilization and rest are initially required.

E. Apply heat to the client's ankle. Heat should not be applied in the acute phase as it can increase swelling and inflammation. Cold therapy is recommended initially.

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A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?

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Correct Answer is B

Explanation

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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