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."
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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Related Questions
Correct Answer is B
Explanation
A. "I will schedule important tasks in the afternoon." Clients with rheumatoid arthritis often experience morning stiffness, so scheduling important tasks in the afternoon may not be practical if fatigue sets in later in the day.
B. "I can use heat or cold to help relieve my pain." Both heat and cold can be effective in managing pain and inflammation associated with rheumatoid arthritis, depending on the stage of inflammation. Applying heat can help relax muscles and improve blood flow, while cold therapy can reduce swelling and numb pain. It’s essential for the client to follow proper guidelines when using these modalities
C. "I should stop exercising if I experience even a little bit of discomfort." While exercise should not cause severe pain, mild discomfort is expected and should not deter the client from continuing gentle exercises to maintain joint function and flexibility.
D. "I need to perform range-of-motion of my joints if I notice they are red." Range-of-motion exercises are essential for maintaining joint flexibility and preventing stiffness in rheumatoid arthritis. However, if the joints are red, swollen, or painful, it’s crucial toavoidperforming range-of-motion exercises during acute flare-ups. Instead, rest and gentle movement are recommended until the inflammation subsides.
Correct Answer is D
Explanation
A. Loss of consciousness: Loss of consciousness is typically associated with head injuries or severe systemic issues, not soft tissue injuries.
B. Shortness of breath: Shortness of breath is more commonly associated with respiratory or cardiovascular issues rather than soft tissue injuries.
C. Numbness and tingling: While numbness and tingling can occur with nerve involvement, it is not a primary manifestation of soft tissue injuries. These symptoms are more commonly associated with nerve compression or damage.
D. Swelling and bruising: Swelling and bruising are common manifestations of soft tissue injuries like sprains, strains, and contusions, due to bleeding and inflammation at the injury site.
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