Exhibits

For each action, click to indicate whether the actions are indicated or contraindicated for postoperative amputation. Each column must have at least one response option selected.

Conditioning exercises of residual limb

Instructions on equipment

Collaborative care

Assessment for grieving

Strengthening exercises

Obtaining soft mattress overlay

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}

Indicated:

Conditioning exercises of residual limb
Instructions on equipment
Collaborative care
Assessment for grieving
Strengthening exercises

Contraindicated:

Obtaining soft mattress overlay

Rationale:

Conditioning exercises of residual limb: These exercises improve blood flow, promote healing, and prepare the limb for future prosthetic fitting. They also help maintain muscle tone and prevent contractures, which are critical after lower extremity amputation.
Instructions on equipment: Education on using assistive devices such as walkers or wheelchairs helps the client build confidence and independence. Early instruction supports safe transfers and mobility, reducing the risk of falls and improving recovery outcomes.
Collaborative care: Interdisciplinary involvement such as physical therapy, occupational therapy, dietitians, and mental health professionals enhances holistic recovery. Collaborative care ensures that physical, emotional, and lifestyle needs are all addressed.
Assessment for grieving: Amputation often leads to feelings of loss, depression, or anxiety. Psychological support and early recognition of emotional distress are vital for the client’s long-term adjustment and successful reintegration into daily life.
Strengthening exercises: Upper body and core strengthening are important to support functional independence in transfers and use of mobility aids. Strength training also prepares the client for eventual prosthetic use and restores physical capacity.
Obtaining soft mattress overlay: A soft mattress can increase the risk of poor positioning and skin breakdown, especially in clients with impaired circulation. Firm support is preferred to maintain body alignment and prevent pressure injuries.

Nursing Test Bank

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Correct Answer is D

Explanation

A. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration: While overuse of ointments may cause skin breakdown, this does not address the root issue. Athlete's foot is a fungal infection, and triple antibiotic ointments are ineffective against fungi regardless of the quantity applied.

B. Continue using the ointment for a full week, even after the symptoms disappear: Triple antibiotic ointment targets bacterial infections, not fungal ones like athlete's foot (tinea pedis). Continuing an ineffective treatment delays proper care and may worsen the condition due to persistent fungal growth.

C. Antibiotics take two weeks to become effective against infections such as athlete's foot: This is incorrect, as antibiotics do not treat fungal infections. Athlete's foot requires antifungal therapy, either topical or systemic depending on severity, and proper hygiene to promote resolution.

D. Stop using the ointment and encourage complete drying of feet and wearing clean socks: Fungi thrive in moist, warm environments. Discontinuing the inappropriate antibiotic ointment, promoting foot hygiene, and keeping the feet dry with clean, breathable socks directly addresses the fungal nature of the condition and supports healing.

A. Logroll to change positions. B. Obtain hourly neurological assessments. C. Immobilize the head in anatomical alignment. D. Assess the extremity reflexes.

Correct Answer is C

Explanation

A. Logroll to change positions: Logrolling is essential in maintaining spinal alignment during position changes, but it is a technique used once spinal stability has been addressed. It supports spine protection, but head and neck immobilization is a more immediate concern in cervical injuries.

B. Obtain hourly neurological assessments: Neurological checks are vital for monitoring spinal cord function and detecting deterioration. However, this is part of ongoing assessment and does not take precedence over initial spine stabilization, which prevents further injury.

C. Immobilize the head in anatomical alignment: Cervical spine injuries place the client at risk for spinal cord damage if the head and neck are not properly stabilized. Immediate immobilization using a cervical collar is critical to prevent further neurological compromise and must be maintained during all assessments and interventions.

D. Assess the extremity reflexes: Reflex assessment contributes to the neurological exam but is not the priority intervention. Reflex findings help localize the level of injury but have limited immediate impact on preventing further damage compared to stabilizing the cervical spine.

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Exhibits For each action, click to indicate whether the actions are indicated or contraindicated for postoperative amputation. Each column must have at least one response option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of an adolescent tells the clinic nurse, "My child has athlete's feet. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

Correct Answer is D

Explanation

When caring for a client with a cervical spinal cord injury, which intervention is the most important for the nurse to implement?

Correct Answer is C

Explanation

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Exhibits For each client activity, click to indicate whether the activity shows positive or negative health promotion postamputation due to extensive peripheral vascular disease. Each row must have one option response selected.

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Exhibits

For each action, click to indicate whether the actions are indicated or contraindicated for postoperative amputation. Each column must have at least one response option selected.