The nurse is providing care for a patient after an above-the-knee amputation due to diabetes complications. Which nursing care is essential for promoting ambulation?

Lying prone as prescribed.

Promoting coordination exercises.

Building upper body strength.

Maintaining residual limb elevation.

Answer and Explanation

The Correct Answer is C

Choice A reason: Lying prone may be part of the care plan but is not specifically aimed at promoting ambulation.

Choice B reason: Coordination exercises are important but secondary to building the strength necessary for using mobility aids.

Choice C reason: Building upper body strength is essential for a patient who has had an above-the-knee amputation to be able to use assistive devices for ambulation effectively.

Choice D reason: Maintaining residual limb elevation is important for reducing swelling but does not directly promote ambulation.

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Correct Answer is ["B","C","D","E","F"]

Explanation

Choice A reason: Telling the patient everything will be okay is not an appropriate intervention as it does not address the specific educational needs related to their knowledge deficit.

Choice B reason: Including family members in teaching can provide additional support and help reinforce the information provided to the patient.

Choice C reason: Identifying knowledge deficiencies is essential to tailor the education to the patient's specific needs.

Choice D reason: Providing written and verbal materials can help the patient understand and remember the information about their surgery and care.

Choice E reason: Determining the patient's anxiety levels can help the nurse address any concerns or fears that may affect their learning.

Choice F reason: Documenting patient understanding and teaching provided is important for continuity of care and to ensure that the patient has received and understood the necessary information.

A. "I start to use the incentive spirometer when I can get out of bed." B. "I breathe deeply and cough every 4 hours." C. "I splint my incision with a pillow to cough." D. "I lie flat in bed to cough and deep breathe."

Correct Answer is C

Explanation

Choice A reason: Using the incentive spirometer is important, but it is not specifically related to deep breathing and coughing exercises.

Choice B reason: Breathing deeply and coughing every 4 hours is part of postoperative care, but it does not indicate understanding of the technique to protect the incision.

Choice C reason: Splinting the incision with a pillow while coughing is a recommended technique to support the incision and reduce pain during coughing, indicating an understanding of the instructions.

Choice D reason: Lying flat is not recommended for deep breathing and coughing exercises as it can inhibit lung expansion and is not conducive to effective coughing.

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The nurse is providing care for a patient after an above-the-knee amputation due to diabetes complications. Which nursing care is essential for promoting ambulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)

Correct Answer is ["B","C","D","E","F"]

Explanation

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

Correct Answer is C

Explanation

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