N 307 Final Practice Fall 21

A nurse is caring for a client who has hyponatremia and requires IV fluid therapy due to his NPO status which of the following solutions does a nurse repair to infuse for this client?

0.45% sodium chloride explanation: a client who has an elevated sodium level and his NPO requires a hypotonic IV solution, such as 0.45% sodium chloride or 0.225% sodium chloride

A nurse is caring for a client with diabetes mellitus was prescribed regular insulin via a sliding scale after administering the correct those at 0715, the nurse should ensure the client receives breakfast I wish the following times

0745 Exclamation regular insulin should be given 20 to 30 minutes before eating because the onset of action is 30 minutes or circumstances which this flag time guys can be adjusted

nurse is caring for a client who has lung cancer and a schedule for lobectomy the nurse should prepare the client to expect which of the following after the procedure

A chest tube explanation: lobectomy is a major surgery that involves a large posterior lateral or anterior lateral incision into bone muscle and Cartlidge testes are placed to drain air and fluid and remain in place for several days postoperatively

A nurse is teaching a client about snacks that are appropriate on a low fat low sodium and low cholesterol diet which of the following food choices by the client indicates the need for further teaching

A slice of cheese

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication the nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects

Adrenocortical insufficiency explanation: prednisone, a corticosteroid, It's similar to cortisol, the glucocorticoid hormone produced by the adrenal glands. It relieves information and is used to treat certain forms of arthritis, severe allergies, autoimmune disorders, and asthma. Administration of glucose corticoids can suppress production of glucocorticoids, and an abrupt withdrawal of the drug can lead to a syndrome of a adrenal insufficiency

A client who has a history of myocardial infarction is prescribed aspirin at 325 mg. The nurse recognizes that the aspirin is given to which of the following actions of this medication?

Antiplatelet aggregate

iMessage Susan a client who has a history of ulcerative colitis and a new diagnosis of anemia which of the following manifestations of colitis is a contributing factor to development of anemia

Chronic blood boss exclamation a client with long-standing osteria colitis is most likely anemic Georgia chronic blood loss in small amounts that occurs over time, although the colitis may result in erosion of the intestine and hemorrhage these clients alterable are bluestone are there for an increased risk for developing anemia

A nurse is caring for a client who is scheduled to have surgery and preparing the client for surgery which of the following actions is considered outside the nurses responsibilities

Explaining the operative procedure, risks, and benefits

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Family history

A nurse is providing discharge teaching to a client who has peripheral arterial disease which of the following instruction should the nurse include in the teaching?

adjust the thermostat so that the environment is warm explanation: the clients instruction should include keeping in varmint warm to prevent vasoconstriction wearing gloves warm clothes and socks will help prevent vasoconstriction

A nurse is providing teaching for a client who is newly diagnosed with type two diabetes Molite us and has a prescription for glipizide. which of the following statements by the nurse best describes the action of glipizide?

Glipizide stimulates your pancreas to release insulin

A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease which of the following statements by the client and the case and understanding of the teaching

I can take this medication with ortho food, I will eat five small meals each day

A nurse is caring for a female client who has recurrent kidney stones i'll schedule for an intravenous pyelogram which of the following statements by the client should the nurse report to the provider

I don't eat shellfish because it gives me hives explanation: the client says she experiences hives after eating shellfish which indicates a sensitivity for contrast I typically use for an IVP is an iodine derivative and the client with a shellfish sensitivity may have cross sensitivity to iodine in a serious iodine allergy the nurse should report these findings to the clients provider

A nurse is providing dietary teaching to a client who has calcium oxalate kidney stones. Which of the following statements indicates an understanding of the teaching?

I may eat a banana with my breakfast explanation: Increase the risk of calcium oxalate stones. Bananas or not I am not silly. Therefore this for joyce indicates an understanding of the teaching.

A nurse is reinforcing teaching with a client regarding reduction of wrist factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? ( select all that apply)

I must stop smoking, I need to monitor my weight, I am limiting my intake of fast foods

A nurse is caring for a client who has advanced lung cancer the client provider has recommended hospice services for the client which of the following statements by the client indicates a correct understanding of hospice care

I should expect the hospice team to help me manage my dyspnea

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching?

I will consume less caffeine and fewer spicy food, I will sleep with the head of my bed elevated, I will try not to gain weight

A nurse is providing teaching to a client about measures to prevent urinary track infections which of the following client statements indicating need for further teaching?

I will need to wipe my perineal area from back to front after urination

A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription of an opioid pain medication PRN. The nurse is concerned the administering a dose of pain medication might hasten the clients death. which of the following ethical principles should the nurse use to support the decision not to administer the medication?

Nonmaleficence explanation: nonmaleficence is the duty to do no harm. The ethical mandate of non-maleficence is that healthcare workers refrain from intentionally inflicting harm to clients

A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis the nurse should identify that which of the following results places the client at risk

LDL 172mg/dL explanation: the nurse with Jennifer than LDL of 172 MG/DL place as a client at risk for peripheral arterial disease from atherosclerosis the expected reference range for an adult is less than 130 MG/DL

A nurse is the meaning of plant is suspected appendicitis identify where the nurse will palpate to assess for pain at McBurney's point

McBurney's point is located by drawing lines from the Nabel to the right iliac crest the Bible 1 to 3 equal length McBurney's point is midway between a Mabel to the iliac crest pressure over this point we listen to me and plants

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere the nurse should monitor for which of the following findings?

Poor impulse control explanation: the client had a stroke involving the right cerebral hemisphere is likely to have personality changes, which can include impulsiveness, confabulation, and poor judgment

A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following intervention should the nurse take to reduce the risk of ventilator associated pneumonia?

Rinse the Clients mouth with anti-microbial solution every four hours explanation: the nurse should brush the clients teeth every eight hours and rinse the clients mouth with an antimicrobial rinse every two hours to reduce the growth of bacteria

A nurse is caring for a client who has a tracheostomy which of the following intervention should the nurse implement when performing tracheostomy care?

Secure new tracheostomy ties before removing old ones explanation: tube dislodgment an accidental decannulation are potential Complications of tracheostomy. Both can be prevented by securing the tube in place. But keeping me all ties in place while applying new tires, the nurse can secure the tube and prevent dislodgment

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base your actions on which of the following information?

The student should use his quick relief inhaler, the students asthma is not well controlled, the students peak flow is 50% to 80% of his best peak flow, the nurse should obtain a second expiratory flow rate

A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The clients most recent complete blood count is shown in the table below it is important for the nurse to consider which of the following for the client?

The client has an increased risk of infection The low white blood cell count (expected range is 5000 to 10,000mm3) places The client at increased risk for infection. The nurse should assess the clients skin and mucous membranes, one sounds in Venus exercise every eight hours for signs of infection

A nurse is establishing health promotion goals for a female client who smoke cigarettes, has hypertension, and has a BMI of 26. Which of the following goal should the nurse include?

The client will walk for 30 minutes five days a week explanation: CDC recommendations include engaging in a moderate exercise, such as walking for a total of 150 minutes each week

A nurse is creating a plan of care to maintain the skin integrity of a client experiences frequent diarrhea ulcerative colitis which of the following intervention should the nurse include in the plan

White perineal area with warm water and Apply a barrier cream

A nurse is preparing a client who has to receive chemotherapy for treatment of ovarian cancer. Which of the following action should the nurse plan to take?

administer an anti-emetic prior to the procedure explanation: the nurse can help prevent nausea and vomiting by administering anti-emetic prior to chemotherapy, and to tell the client to continue taking medication until nausea and vomiting resolve

A nurse is providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin which of the following instruction should the nurse include select all that apply

apply the patch to a hairless area and rotate sites, apply a new patch each morning, remove the patch for 10 to 12 hours daily

A nurse is caring for a client who has pneumonia and has a prescription for oxygen therapy at 5L/MIN Via nasal cannula which of the following action should the nurse take

attach a humidifier bottle to the base of the flow meter explanation: oxygen therapy enjoy the mucous membranes the nurse should search unification for client receiving oxygen greater than 4L/MIN via nasal cannula

A nurse is providing dietary teaching to a client who has frequent kidney stones which of the following instruction should the nurse include in the teaching?

avoid eating tree nuts such as almonds explanation: the nurse should instruct the client to avoid high oxalate foods such as peanuts or tree nuts including almonds cashews and hazelnuts to decrease the risk of stone formation

A nurse is assessing a client who has COPD. The nurse should expect the clients chest to be which of the following shapes?

barrel explanation: client of COPD use accessory muscles to assist with respiratory effort. At the use of those accessory muscles causes the chest wall to eventually increase an anterior posterior diameter, making it appear barrel shaped.

A nurse is caring for a client was ulcerative colitis I was teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

both are inflammatory explanation colon the nurse should inform the client that both disease processes are an inflammatory process of the gastrointestinal track

A nurse is caring for a client who has a prescription for potassium chloride 20 mEq PO daily. The nurse reviews the clients most recent laboratory results and find the clients potassium level is 5.2 mEq/L. which of the following action should the nurse take?

call the prescribing physician and inform her of the client serum potassium level results explanation: as potassium level of 5.2 is above the expected reference range, the nurse should hold the medication and notify the provider of the clients serum potassium levels

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. after several treatments, the client reports fatigue. Which of the following actions should the nurse take?

check the results of the clients most recent CBC explanation: the client might have anemia as a result of the myelosuppression from the chemotherapy. If so she might require treatment for the anemia and the provider might have to delay further chemotherapy and so her blood counts are higher

A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis which of the following technique should the nurse use?

cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding.

A nurse is preparing a client for surgery prior to administering the prescribed hydroxyzine the nurse should explain to the client that the medication is for which of the following indications select all that apply

controlling emesis, diminishing anxiety, reducing the amount of narcotics needed for pain relief, drying secretions

A nurse is teaching a client who has a prescription for a nasogastric tube to treat a pyloric construction. Which of the following rationales for the use of a nasogastric tube should the nurse include in the teaching?

decompress the stomach Explanation: pyloric obstruction, also called gastric outlet obstruction, is caused by edema, scarring, or spasm, often the result of gastritis or peptic ulcer disease. The nurse should inform the client that because The stomach is dilated and may contain undigested food, it must be decompressed, necessitating the placement of an NG tube

A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day after reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

dehydration explanation: hypernatremia dehydration occurs with excess of fluid loss due to perspiration, respiration, and in adequate fluid intake. The nurse should note the clients sodium is above the excepted reference range, for glucose, potassium, BUN, chloride, and creatinine or was in the excepted reference ranges. The clients history, collapsing after activity on a hot day, and the sodium findings are consistent with dehydration due to water deficit

The nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an NG tube to wall suction. Which of the following interventions should the nurse include in the clients postoperative plan of care?

discontinue suction when assessing for peristalsis, irrigate the NG tube with 0.9% sodium chloride irrigation solution, place sequential compression devices on the bilateral lower extremity's, reposition a client from side to side every two hours

iMessage caring for a client was postoperatively following vascular surgery which of the following signs should indicate to the nurse that the client has it all Columbus

doll calf pain Call aching cats name is a sign of the bank on Boces other manifestations are Dima warmth and redness in the cast

A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis which of the following food should be eliminated in the clients diet

dried apricots explanation a nurse should instruct the client who has ulcerative colitis to consume I'll diet low in fiber and should a woman eat dried apricots from his diet dried apricots are high in fiber and may cause an exacerbation of the clients disease process

A nurse is providing dietary teaching to a client has a history of the current calcium oxalate kidney stones which of the following instruction should the nurse include in the teaching

drink 3 L of fluid every day explanation the nurse instruct the client to drink at least 3 to 4 L of fluid every days and I will do your own and reduce the risk for stand formation

A nurse is teaching a client who has a prosthetic limb tissue a right The Lowe's in a amputation about prosthesis and stump care which of the following instruction should a nurse include in the teaching

dry the prosthesis socket completely before applying it to the limb

A nurse is planning care for a female who has a T4 spinal cord injury and is at risk of acquiring urinary track infection. Which of the following action should the nurse include in the plan of care?

encourage fluid intake at and between meals. explanation: increase fluid intake dilute the urine, reduces stasis, and greatly reduces the urinary bacterial count. Consequently, the risk of nosocomial UTI is reduced, even for a client who has a spinal cord injury.

A nurse is caring for a client who has chronic obstructive pulmonary disease the client tells the nurse I can feel the congestion in my lungs and I certainly cough a lot but I can't seem to bring anything up which of the following action should the nurse take to help his client with tenacious bronchial secretions

encouraging the clients to drink 2 to 3 L of water daily

A nurse is teaching a client who has diabetes Molite us and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. which of the following information should the nurse include?

expect the NPH insulin to peak in 6 to 14 hours explanation: NPH insulin is an intermittent acting insulin. Its onset of action is 1 to 2 hours, peaking at 6 to 14 hours. It's duration of action is 16 to 24 hours. The client is at risk for hypoglycemia during the peak time

A nurse is teaching a client who takes aspirin daily for coronary artery disease about herbal supplements the nurse should instruct the client that which of the following herbal supplements may interact adversely with aspirin

feverfew explanation the nurse should instruct the client to avoid taking feverfew with aspirin because it suppresses platelet aggregation in places the client at risk for bleeding when taken with aspirin

A nurse is planning care for a client who is being treated for chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the clients plan of care

fresh flowers and potted plants in the room explanation: clients who are receiving chemotherapy and radiation therapy or likely to become Immunocompromise as a result of neutropenia, decreased white blood cell count because micro organisms are likely to be present on fresh flowers and plants immunocompromise clients are instructed not to except such a Gifts into the room in addition the client is instructed only thoroughly cooked meats and thoroughly washed fruits and vegetables immuno compromised clients are more susceptible to infection and illness from foodborne bacteria and other clients

A nurse is caring for a client who has diabetes and plans to minister his regular insulin subcutaneously before he eats breakfast at 8 AM After checking the clients morning glucose levels which of the following action should the nurse take

give the insulin at 7:30 AM explanation: regular insulin has an onset of 30 to 60 minutes and should be given at a specific time before meals, usually within 30 minutes the nurse should always check the blood glucose levels prior to administering short acting insulin

A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. which of the following beverages should the nurse tell the client to avoid while taking this medication?

grapefruit juice explanation: grapefruit juice increases blood levels of verapamil , A calcium channel blocker, by inhibiting its metabolism. The excess amount of medication can intensify the medication's hypotensive affects, putting the client at risk for syncope and dizziness

A nurse is planning care for a client who has diverticulitis. Which of the following menu selection should the nurse include in the plan?

grilled chicken breast with white rice explanation: both of these items are low in fiber which is advised during the inflammation of diverticulitis. In the presence of diverticulosis, a high fiber diet is indicated

A nurse is caring for a client who is two days postoperative following and above the knee amputation which of the following is an appropriate nursing intervention for this client at this time?

have the client lie prone every three hours for 20 minutes at a time The nurse should encourage the client to wipe around for 20 to 30 minutes every day 3 to 4 hours to help prevent hip flexion contracture

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy induced nausea. For which of the following adverse effects should the nurse monitor?

headache explanation: headache is a common adverse effect of ondansetron. analgesic relief is often required.

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a rest factor for this condition?

history of NSAID use explanation: the nurse should recognize that long-term use of NSAIDs is a risk factor for peptic also disease. NSAIDs Break down the mucosal Berry and Carl production of prostaglandins to decrease, which result in local gastric mucosal injury

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. which of the following statements by the client indicates an understanding of the teaching?

i'll take this medication once a day in the evening montelukast, A leukotriene modifier, is used to prevent asthma exacerbation's. The client should take it on a daily basis once a day in the evening.

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which of the finding indicates to the nurse that the client may be developing hypovolemic shock?

increase in heart rate from 88 to 110/min explanation: hypovolemic shock is a condition in which the heart is unstable to supply enough blood to the body because of blood loss or in adequate blood volume. In an effort to compensate for this, the heart rate increases steadily, and the first stage of shock the heart rate is below 100 permanent a shock progresses the heart rate continues to accelerate some more than 150 permanent and the final stage of the heart rate becomes very erratic I may develop asystole

A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. which of the following instruction should the nurse include

increase your daily intake of dietary fiber explanation: the nurse instruct the client to increase his daily intake of dietary fiber to reduce the risk of constipation associated with verapamil

A nurse is collaborating on care for a client who has COPD which of the following tasks should a nurse recommend be referred to an occupational therapist for assistance

instructing how to use kitchen tools to prepare a meal Explanation: as a member of the interdisciplinary team comedy occupational therapist worked with a client to develop fine motor skills and coordination, such as improving and strengthen a hand movements. The occupational therapist focuses on self-management of ADLs such as skills needed for eating, hygiene, and dressing. The occupational therapist also can teach clients to perform other independent living skills, such as cooking and shopping

A nurse is caring for a client who has peripheral arterial disease which of the following symptoms should the nurse expect to find in the early stage of the disease

intermittent claudication Explanation intermittent claudication is ischemic pain that is precipitated by exercise resolved with russ and his reproductive on the plane associated with claudication arises was cellular oxygen demand exceeds supply in occurs early in the disease course in is typically the initial reason clients who have PAD sick medical attention

A nurse is planning care for a client who has deep pain thrombosis of the lower leg. Which of the following intervention should the nurse include in the plan of care?

keep the clients affected leg elevated while in bed

A nurse is caring for a client who has a chest tube connected to a closed drainage system needs to be transported to the x-ray department. Which of the following action should the nurse take?

keep the drainage system below the level of the clients chest at all times

A nurse is assessing a client who has a pneumothorax with a chest tube in place for which of the following findings should the nurse notify the provider

movement of the trachea toward the unaffected side

A nurse is teaching a client who is receiving treatment for a metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the clients report which of the following findings as an adverse effects of this medication?

nosebleeds

A nurse is caring for a client is experiencing hypovolemic shock which of the following blow probably should learn census be in minutes client

packed RBCs

A nurse is caring for a client reporting new onset of severe chest pain which of the following action should the nurse take to terminate the client is experiencing a myocardial infarction

perform a 12 lead ECG

A nurse is caring for a client who has a new prescription for a low sodium diet. The clients family has requested to bring in some of the clients favorite foods. Which of the following food item should the nurse other family members to omit?

pickled vegetables explanation: do to the pickling brine, pickled vegetables are high in sodium the family should I bring this food item to the client

A nurse is assessing the elastic bandage on the stump of a client who had a right below the knee amputation which of the following findings should the nurse identify as a complication

pitting edema around the stump dressing

A nurse is admitting a client who is having an exacerbation of his asthma when reviewing the providers orders the nurse recognizes that clarification is needed for which of the following medication's?

propranolol Explanation: the medication's that block beta receptors such as propanolol are contraindicated in clients with asthma

A nurse is teaching about risk factors for developing a stroke with a group of older adult client which of the following non-modifiable risk factors of the nurse include in the teaching

race

A nurse is caring for a client who has a right sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following action should the nurse take?

remind the client to look for food on the left side of the tray explanation: the nurses actions to remind the client to look for food on the left side of the tray will train the client to scan the tray by moving his head and eyes, which will help to resolve the problem of homonymous hemianopsia

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis which of the following action should the nurse take first

review the clients electrolyte values

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?

rigid abdomen explanation: original, board like abdomen is a manifestation of peritonitis

A nurse is providing dietary teaching for a client who has just learned that she has type two diabetes mellitus. And there should explain that which of the following sweeteners will add calories to the clients carbohydrate count?

sorbitol Explanation: this nutritive sweetener provide calories just as sucrose does. However, it can have benefits for clients who must restrict caloric intake. This is because it causes less elevation in blood glucose levels and sucrose does

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus 10 minutes into the infusion of the third dose the client reports of the IV site itches and then he feels dizzy and short of breath which of the following action should the nurse take first

stop the infusion

A nurse is performing tracheostomy care for a client and suctioning to remove copious secretion which of the following action should the nurse take?

suction 2 to 3 times with a 60 second pause between passes explanation: copious secretions may require several passes of the suction catheter. An interval of 60 seconds should be allowed between passage to prevent hypoxia

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestation should indicate to the nurse that a child appendix is perforated?

sudden decrease in abdominal pain explanation: a sudden decrease in abdominal pain should indicate to the nurse of the appendix might be ruptured. If the appendix ruptures, the pain can disappear for a short period and the client might feel suddenly better. However, once peritonitis sets in, the panel try to get spread into the whole abdomen

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

tell me more about these fears of dying from a heart attack explanation: with this response, the nurse uses a therapeutic communication technique of exploring to encourage further communication about the clients feelings.

A nurse is preparing to administer an answer of eating via nasogastric tube. Identify the correct sequence the nurse should follow soon as you the feeding

verify to placement, check the residual feeding contents, administer the feeding, evaluate tolerance of feeding

A nurse is caring for a client who has a new diagnosis of essential hypertension the nurse should monitor the client for which of the following findings that is consistent with this diagnosis.

vertigo explanation: the nurse should monitor the client for findings such as vertigo, headache, facial flushing, and fainting these manifestations are consistent with a new diagnosis of essential hypertension

A nurse is caring for a client who has deep vein from process and has been on heparin continuous infusion for five days the provider prescribes warfarin PO without discontinuing the heparin. The client asked the nurse why both anticoagulants are necessary. Which of the following statement should the nurse make?

warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level. explanation: heparin and warfarin are both anticoagulants that decrease the clotting ability of the blood and help prevent thrombosis formation in the blood vessels. However, these medications work in different ways to achieve therapeutic coagulation and must be given together until therapeutic levels of anticoagulation can be achieved by warfarin alone, which is usually within 1 to 5 days. When the clients PT and INR are within therapeutic range, the heparin can be discontinued.

A nurse is assessing a client who is 48 hours postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

yellow green drainage on the surgical incision explanation: secular green drainage is an indication of an infection and should be reported immediately

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

your pain will gradually become less severe