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 ["A","D","E"]

Explanation

A. There should be 6-8 servings of grains daily: The DASH (Dietary Approaches to Stop Hypertension) diet recommends 6-8 servings of grains, especially whole grains, each day to provide energy, fiber, and essential nutrients.
B. Nuts, seeds, dry beans, and peas should be consumed daily: While these foods are part of the DASH diet, they are not recommended for daily consumption. The diet typically suggests 4-5 servings per week.
C. Meat should be eliminated from the diet: The DASH diet does not require the elimination of meat. It recommends choosing lean meats and consuming them in moderation.
D. Dairy intake should be low-fat or fat-free: The DASH diet emphasizes low-fat or fat-free dairy products to reduce saturated fat intake and promote heart health.
E. Monounsaturated fats and oils are preferred: The DASH diet encourages the use of healthier fats, such as those from monounsaturated sources like olive oil, to help manage cholesterol levels and support cardiovascular health.

A. Have the patient swallow twice after each bite. B. Place the patient in a semi-Fowler position. C. Provide clear liquids only until the patient can swallow solid foods. D. Check the patient's mouth for pocketing of food. E. Encourage the use of a straw for liquids. F. Place food on the unaffected side of the patient's mouth.

Correct Answer is ["A","D","F"]

Explanation

A. Have the patient swallow twice after each bite: This can help clear any residual food from the mouth and reduce the risk of aspiration.
B. Place the patient in a semi-Fowler position: This position is not ideal for preventing aspiration. The patient should be in an upright, high Fowler’s position to minimize the risk.
C. Provide clear liquids only until the patient can swallow solid foods: Clear liquids can actually be more difficult to control in the mouth and throat than thicker liquids and may increase the risk of aspiration.
D. Check the patient's mouth for pocketing of food: Ensuring that no food is left in the mouth can help prevent aspiration after the patient has finished eating.
E. Encourage the use of a straw for liquids: Using a straw can increase the risk of aspiration because it delivers liquids quickly and may overwhelm the swallowing mechanism, especially in patients with dysphagia.
F. Place food on the unaffected side of the patient's mouth: This helps ensure that the stronger side of the mouth and throat manages the food, reducing the risk of aspiration.

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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

The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

Correct Answer is ["A","D","F"]

Explanation

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