A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

Dry the prosthesis socket completely before applying it to the limb.

Apply a moisturizing lotion or oil to the stump daily.

Keep the prosthesis in direct contact with the residual limb.

Expect some skin irritation from the prosthesis.

Answer and Explanation

The Correct Answer is A

A.   Ensuring the prosthesis socket is dry helps prevent skin irritation, discomfort, and the potential for infection.
B.   Applying moisturizing lotion or oil can make the skin too slippery, affecting the fit and function of the prosthesis.
C.   The prosthesis should not be in direct contact with the residual limb; a liner or sock is typically worn.
D.   Skin irritation should be minimized, and any persistent issues should be addressed with the prosthetist. Expecting irritation as a norm is not appropriate.

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Correct Answer is C

Explanation

A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.

A. A client who has a punctured femoral artery B. A client who has an open fracture C. A client who exhibits manifestations of multiple organ failure D. A client who has several closed fractures with bruising

Correct Answer is A

Explanation

A. Emergent (red tag) category includes patients with life-threatening injuries requiring immediate attention, such as a punctured femoral artery.
B. An open fracture may be urgent but not emergent unless associated with severe bleeding or other life-threatening complications.
C. Manifestations of multiple organ failure are severe but may fall into the expectant (black tag) category.
D. Closed fractures with bruising may be urgent but not emergent unless there are associated life-threatening complications.

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A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?

Correct Answer is A

Explanation

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