The nurse instructs the client with a right below-the-knee amputation (BKA) to lie on their stomach for at least 30 minutes a day. The client asks the nurse, "Why must I lie on my stomach?" Which statement is the most appropriate for the nurse?

"Lying on your stomach will prevent contractures

"This position will help your lungs expand better."

"The position will take pressure off your backside."

"Many times, this will help decrease pain in the limb.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Lying in the prone position (on the stomach) helps prevent hip flexion contractures, which are a common complication after a below-the-knee amputation. This position stretches the hip flexors and maintains proper joint alignment.
B. While prone positioning may aid in lung expansion, this is not the primary reason for the recommendation in amputee care.
C. Pressure relief on the backside is not the main concern in this case.
D. Pain relief is not the purpose of prone positioning; in fact, it may be uncomfortable for some clients. The focus is on maintaining joint mobility and preventing contractures

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Correct Answer is C

Explanation

Rationale:
A. Deep breathing and coughing exercises are important but ensuring catheter patency is more critical immediately post-prostatectomy to prevent urinary retention and bladder distention.
B. Strict bed rest is generally not required; early ambulation is encouraged to reduce complications.
C. Maintaining a patent indwelling catheter is essential after prostatectomy to prevent urinary obstruction, bladder distension, and potential damage to the surgical site.
D. Monitoring for infection is important but is a routine ongoing assessment rather than the immediate priority.

A. Worsening of epigastric pain B. They have not stopped smoking C. An increase in the number of bowel movements D. The need for antacids daily

Correct Answer is A

Explanation

Rationale:
A. Worsening epigastric pain may indicate complications such as perforation or bleeding, which require immediate medical attention.
B. Continuing to smoke is a concern and should be addressed, but it does not require urgent reporting.
C. An increase in bowel movements may occur due to medication or dietary changes and is not typically an emergency.
D. Daily antacid use suggests incomplete symptom control but is not an immediate danger; it can be addressed during follow-up care.

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The nurse instructs the client with a right below-the-knee amputation (BKA) to lie on their stomach for at least 30 minutes a day. The client asks the nurse, "Why must I lie on my stomach?" Which statement is the most appropriate for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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