Client with an amputation due to peripheral vascular disease
What information should the nurse include in the teaching plan for a client with arterial insufficiency to the feet that is being managed conservatively? A) lubricate the feet daily B) soak the feet in warm water C) apply antiembolism stockings D) wear firm supportive leather shoes
A Lubricate the feet daily
Which factor contributes to a risk for amputation in a client with peripheral vascular disease? Select all that apply A) uncontrolled diabetes mellitus or 15 years B) A 20-pack-year history of cigarette smoke C) hemoglobin level of 14.2 D) a serum cholesterol concentration of 275 E) Work that requires prolong standing
A, B, D
A client ask the nurse why won't the healthcare provider tell me exactly how much of my legs he is going to take off? Don't you think I should know that? On which information to the nurse they slow response? A) the need to remove as much of a leg as possible B) the adequacy of the blood supply to the tissue C) to ease with which a prosthesis can be fitted D) the clients ability to walk with a prosthesis
B
The client has severe arterial occlusive disease and gangrene of the left great toe. Which finding is expected? A)Edema around the ankle B) loss of hair on the lower leg C) thin soft toenails D) warmth in the foot
B
The client says I hate the idea of being invalid after they cut off my leg. Which respond by the nurse would be most therapeutic? A) At least you'll still have one good leg to use B) tell me more about how you're feeling C) let's finish the pre-operative teaching D) you're lucky to have a wife to care for you
B
Which action is most helpful to promote circulation for the client with peripheral artery disease? A) Resting with the legs elevated above the level of the heart B) walking slowly but steadily for 30 minutes twice a day C) minimizing activity as much as and as often as possible D) Wearing antiembolism stockings all times when out of bed
B Walking slowly but steadily for 30 minutes twice a day
A client with absent peripheral pulses in pain at rest is scheduled for arterial Doppler study Of the affected extremity. When preparing the client for this test what should the nurse do? A) Have the client sign and inform consent form for the procedure B) administer a pretest sedative as appropriate C) keep the client tobacco free for 30 minutes before the test D) wrap the client affected foot with a blanket
C
A client in a post anesthesia care unit with a left below the knee amputation and has pain in the left big toe. What should the nurse do first? A)Tell the client it is impossible to feel the pain B) show the clients that the toes are not there C)explain to the client that the pain is real D) give the client the prescribe opioids analgesic
D
A client who has path and above the knee amputation developed a dime size great red spot on the dresser in five minutes in the post anesthesia recovery unit. What should the nurse do first? A) Elevate to stump B) reinforce the dressing C) call the surgeon D)drawl a Mark around the site
D
The client is to be discharged on a low fat low cholesterol low sodium diet when coaching the client about the diet what should the nurse do first? A) Determine the clients knowledge level about cholesterol B) ask the clients name foods that are high in fat cholesterol and salt C) explain the importance of complying with the diet D) Assess clients and families typical food preferences
D
The client was in above the knee amputation is to use crutches while the prosthesis is being adjusted. Which exercise will be best prepare the alliance for using crutches? A) Abdominal exercises B) isometric shoulder exercises C) quadriceps setting exercises D) tricep strengthening
D
