A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?

Encourage the patient to bear weight on the residual limb to promote early ambulation.

Apply a tight compression bandage to the residual limb to promote circulation.

Assess the residual limb for signs of hemorrhage or poor circulation.

Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

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

Explanation

Choice A rationale

Lying down after meals can increase the risk of acid reflux in individuals with a hiatal hernia. Patients are often advised to remain upright after eating to minimize symptoms.

Choice B rationale

Elevating the head of the bed helps prevent gastric contents from refluxing into the esophagus, reducing symptoms of hiatal hernia and promoting better sleep.

Choice C rationale

Reducing caffeine and spicy foods can help manage symptoms, as these substances can irritate the stomach lining and exacerbate reflux in hiatal hernia patients.

Choice D rationale

Maintaining a healthy weight is important because excess weight can increase abdominal pressure and contribute to the worsening of hiatal hernia symptoms.

Choice E rationale

Drinking less fluid is not typically a recommendation for hiatal hernia. Adequate hydration is important for overall health, and reducing fluid intake may not have a significant impact on symptoms.

A. Hypokalemia. B. Hyperkalemia. C. Hyponatremia. D. Hypocalcemia.

Correct Answer is B

Explanation

Choice A rationale

Hypokalemia involves low potassium levels and is not treated with sodium polystyrene sulfonate. This drug is used to treat elevated potassium levels.

Choice B rationale

Hyperkalemia indicates high potassium levels in the blood. Sodium polystyrene sulfonate (Kayexalate) works by exchanging sodium ions for potassium ions in the intestines, thereby lowering blood potassium levels.

Choice C rationale

Hyponatremia, or low sodium levels, is not treated with sodium polystyrene sulfonate, which targets potassium removal.

Choice D rationale

Hypocalcemia refers to low calcium levels and is unrelated to the action of sodium polystyrene sulfonate, which addresses potassium imbalance.

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A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a hiatal hernia about dietary recommendations.Which of the following client statements indicate an understanding of the teaching? (Select all that apply.)

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

Explanation

The nurse is preparing to administer sodium polystyrene sulfonate (Kayexalate) rectally to a patient with an irregular pulse and weakness of the lower extremities.What laboratory finding does the nurse determine is the reason for this treatment?

Correct Answer is B

Explanation

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.Which action should the nurse complete first?

A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia.Which of the following findings should the nurse expect?