5a
Which information will the nurse include in the teaching session about care of the residual limb to a client who had a below - the - elbow amputation ?
" Wash and dry the residual limb at least once a day . "
A client with a fractured femur is being prepared for surgery . The client develops a sudden onset of cyanosis , tachycardia , dyspnea , and restlessness . Which action would the nurse take first ?
Administer oxygen by mask .
An 11 - month - old infant is admitted to the pediatric hospital with a fractured right femur and is placed in Bryant traction . Which education would the nurse provide the parents about why both legs are placed in traction ?
As a means of ensuring countertraction , both legs are placed in traction , and the buttocks are suspended off the bed .
A client who had an above - the - knee amputation of the left leg plans to use crutches until a prosthesis is fitted . Which action would the nurse take first ?
Determine whether the client has ever used crutches .
Which distinguishing sign unique to a fat embolus will a nurse montor for in a client with a distal femoral shaft fracture who is at risk for developing a fat embolus ?
Petechiae
Which goal would the nurse identify as the reason for snugly bandaging the client's residual limb after an amputation
Promoting tissue shrinkage
A client who has an above - the - knee amputation ( AKA ) reports phantom limb sensations . Which response would the nurse make ?
Describe the mechanisms in language that the client understands .