An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?

I will call your provider so we can discuss it.

What are you thinking that you would like to do?

You have the right to refuse if you don’t think you can do this.

Many clients your age are able to adjust surprisingly well to a prosthesis.

Answer and Explanation

The Correct Answer is D

Choice A Reason: I will call your provider so we can discuss it

While this response shows the nurse’s willingness to involve the healthcare provider, it does not directly address the client’s concern about their ability to manage the prosthesis. It is important to provide immediate reassurance and encouragement to the client, which this response lacks.

Choice B Reason: What are you thinking that you would like to do?

This response is open-ended and encourages the client to express their feelings and thoughts. While it is a good approach to understand the client’s perspective, it does not provide the immediate reassurance and encouragement that the client needs to feel confident about managing the prosthesis.

Choice C Reason: You have the right to refuse if you don’t think you can do this

This response acknowledges the client’s autonomy but may inadvertently reinforce their doubts and fears about managing the prosthesis. It is important to encourage and support the client rather than focusing on their right to refuse.

Choice D Reason: Many clients your age are able to adjust surprisingly well to a prosthesis

This response is the most appropriate as it provides reassurance and encouragement to the client. By sharing that many clients of a similar age have successfully adjusted to a prosthesis, the nurse helps to build the client’s confidence and reduce their anxiety about managing the new situation. This positive reinforcement can be very motivating for the client.

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Correct Answer is A

Explanation

Choice A Reason: WBC Count 22,000/mm³

A white blood cell (WBC) count of 22,000/mm³ is significantly higher than the normal range, which is typically between 4,000 and 11,000/mm³. An elevated WBC count, known as leukocytosis, often indicates the presence of an infection as the body produces more white blood cells to fight off pathogens. This elevated count can also be seen in other conditions such as inflammation, stress, or bone marrow disorders, but it is a strong indicator of infection.

Choice B Reason: Hgb 15 g/dL

Hemoglobin (Hgb) levels of 15 g/dL fall within the normal range for adults, which is generally 13.8 to 17.2 g/dL for males and 12.1 to 15.1 g/dL for females. Normal hemoglobin levels indicate that the blood’s oxygen-carrying capacity is adequate and do not specifically point to an infection.

Choice C Reason: Creatine kinase 75 units/L

Creatine kinase (CK) levels of 75 units/L are within the normal range, which is typically 24 to 204 U/L. CK is an enzyme found in the heart, brain, and skeletal muscle, and elevated levels can indicate muscle damage, myocardial infarction, or other conditions affecting these tissues. However, normal CK levels do not indicate the presence of an infection.

Choice D Reason: Platelet count 200,000/mm³

A platelet count of 200,000/mm³ is within the normal range, which is generally between 150,000 and 450,000 platelets per microliter of blood. Platelets are involved in blood clotting, and normal levels do not indicate an infection. Abnormal platelet counts can be associated with bleeding disorders or thrombosis, but a normal count does not suggest an infection.

A. N95 respirator B. Goggles C. Face shield D. Gloves

Correct Answer is D

Explanation

Choice A Reason:

An N95 respirator is used for airborne precautions, not contact precautions. It is necessary for protecting against airborne pathogens like tuberculosis or COVID-19.

Choice B Reason:

Goggles are used to protect the eyes from splashes or sprays of infectious materials. While they can be part of contact precautions, they are not the primary PPE required for changing bed linen.

Choice C Reason:

A face shield provides protection against splashes and sprays to the face. Similar to goggles, it is not the primary PPE required for contact precautions when changing bed linen.

Choice D Reason:

This is the correct answer. Gloves are essential for contact precautions to prevent the transmission of infectious agents through direct or indirect contact with contaminated surfaces or materials. They protect the nurse from coming into contact with pathogens that may be present on the bed linen.

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An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?

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Correct Answer is A

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Correct Answer is D

Explanation

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