A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which of the following statements indicate to the nurse a need for further instruction?

"I'll have to exercise my residual leg every day."

"I will need to wear a sock over the residual portion of the leg."

"I can apply elastic bandages to help shrink my residual leg."

"I will learn to balance well on one leg so I don't have to use crutches."

Answer and Explanation

The Correct Answer is D

A. Daily exercise of the residual limb is important to maintain strength and prepare for prosthesis use.
B. Wearing a sock over the residual limb is correct to ensure proper fit and comfort.
C. Elastic bandages are used appropriately to shape and shrink the residual limb for prosthetic fitting.
D. Relying solely on balancing on one leg instead of using crutches is unsafe and indicates a need for further instruction.

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Correct Answer is B

Explanation

A. Whole grain cereals contain phytates, which can bind calcium and decrease its absorption; this is not recommended.
B. Vitamin D enhances calcium absorption in the gut and is recommended for clients taking calcium supplements, making this correct.
C. Calcium can be taken with or without food, but absorption may be better when taken with meals, not strictly on an empty stomach.
D. Zinc-rich foods do not significantly enhance calcium absorption; focus should be on vitamin D and adequate dietary calcium.

A. Instruct the assistive personnel (AP) to transfer the client to a chair. B. Acknowledge the client's wishes. C. Tell the client that if she does not get out of bed, she will not receive any assistance with bathing D. Ask for assistance from a physical therapist to help move the client out of bed.

Correct Answer is B

Explanation

A. Forcing the client or delegating a transfer against her will violates autonomy and can lead to injury or ethical/legal issues.
B. Acknowledging the client’s wishes respects her autonomy and provides an opportunity to explore reasons for refusal and offer support or alternative interventions.
C. Threatening the client is coercive, unethical, and can damage trust.
D. Asking a physical therapist to move a client who refuses ambulation still does not respect the client’s right to refuse.

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A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which of the following statements indicate to the nurse a need for further instruction?

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A nurse is reinforcing teaching with a middle-aged client who is at high risk for osteoporosis and is taking oral calcium gluconate. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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