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 D

Explanation

A. Provide an elevated toilet seat: This is important for preventing hip dislocation but is not the immediate priority.
B. Assist out of bed immediately following surgery: Mobilizing the patient is important to prevent complications such as deep vein thrombosis (DVT) and pneumonia, but this should be done safely and as prescribed.
C. Medicate with pain medications: Pain management is crucial for postoperative recovery but is part of comprehensive care rather than the single priority.
D. Maintain weight bearing as prescribed: Following weight-bearing restrictions is critical to ensure proper healing and prevent complications such as dislocation or prosthetic failure. This is the immediate priority in terms of preventing harm and ensuring recovery.

A. Taking calcium supplements B. Avoiding all forms of physical activity C. Regular weight-bearing exercise D. Limiting sun exposure

Correct Answer is C

Explanation

A. Taking calcium supplements: While calcium supplements can help, they are not as effective alone without other measures such as weight-bearing exercise.
B. Avoiding all forms of physical activity. Physical inactivity can actually increase the risk of osteoporosis. Weight-bearing exercise helps to strengthen bones.
C. Regular weight-bearing exercise. Weight-bearing exercises, such as walking or lifting weights, are the most effective in promoting bone health and preventing osteoporosis.
D. Limiting sun exposure. Limiting sun exposure can actually be detrimental because it can lead to a deficiency in vitamin D, which is necessary for calcium absorption and bone health.

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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?

Nursing Test Bank

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