The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

Risk of infection is great.

Replantation can occur.

Postoperative therapy will be required.

Prosthetic fitting is often prescribed.

Answer and Explanation

Correct Answer : A,B,C

A. Risk of infection is great.: Traumatic amputations create an open wound, increasing the risk of infection. Proper wound care and monitoring for signs of infection are critical.
B. Replantation can occur.: Depending on the severity of the injury and the viability of the amputated part, replantation is possible and is a common consideration in the plan of care.
C. Postoperative therapy will be required.: Rehabilitation, including physical therapy, is essential for restoring function and mobility in the affected limb after amputation or replantation.
D. Prosthetic fitting is often prescribed.: While prosthetics can be used for finger amputations, not all cases require them, especially if replantation is successful. This is less common compared to major limb amputations.

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Correct Answer is D

Explanation

A. Instruct the patient to wear constrictive clothing: This is incorrect. Constrictive clothing can impede blood flow and worsen venous stasis.
B. Encourage frequent ambulation: This is correct. Ambulation promotes circulation, helps prevent blood stasis, and encourages the healing of ulcers.
C. Encourage the patient to keep legs in a dependent position: This is incorrect. Keeping the legs in a dependent position can increase venous pressure and exacerbate edema, which is counterproductive for managing venous stasis ulcers.
D. Apply compression stockings: This is correct. Compression stockings help to improve venous return, reduce edema, and promote ulcer healing by preventing blood from pooling in the legs.

A. Calcium 9.4 mg/dL B. Sodium 140 mEq/L C. Potassium 2.5 mEq/L D. Magnesium 1.9 mEq/L

Correct Answer is C

Explanation

A. Calcium 9.4 mg/dL: This is within the normal range for calcium (8.5-10.2 mg/dL), so it is not a concern.
B. Sodium 140 mEq/L: This value is within the normal range for sodium (135-145 mEq/L), so it is not a concern.
C. Potassium 2.5 mEq/L: This is below the normal range for potassium (3.5-5.0 mEq/L) and indicates hypokalemia, which is a common side effect of furosemide, a diuretic. Hypokalemia can cause serious cardiac issues and requires prompt attention.
D. Magnesium 1.9 mEq/L: This is within the normal range for magnesium (1.5-2.5 mEq/L), so it is not a concern.

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The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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