Nokea
A patient complains of pain in the foot of a leg that was recently amputated. What should the nurse recognize about this pain?
- A. It is caused by swelling at the incision.
- B. It should be treated with ordered analgesics.
- C. It will become worse with the use of a prosthesis.
- D. It can be managed with diversion because it is psychologic.
Correct Answer: B
Rationale: Phantom pain is treated with analgesics.
You may also like to solve these questions
Which is the largest branch of the internal carotid artery?
- A. ophthalmic artery
- B. anterior cerebral artery
- C. middle cerebral artery
- D. striate artery
Correct Answer: C
Rationale: The middle cerebral artery is the largest branch of the internal carotid artery and supplies a significant portion of the cerebral cortex, including areas responsible for motor and sensory functions.
Aldosterone:
- A. increases mRNA synthesis
- B. deficiency results in hypotension
- C. increases sodium reabsorption from sweat
- D. all above
Correct Answer: D
Rationale: Aldosterone increases mRNA synthesis to enhance sodium reabsorption, and its deficiency can lead to hypotension. It also promotes sodium reabsorption from sweat, helping maintain electrolyte balance.
A treatment designed to aid production and comprehension of speech is known as group communication treatment. A study by Elman & Berstein-Ellis (1999) showed:
- A. No improvement in functional communication compared with patients not receiving structured treatment.
- B. Significantly more improvement in functional communication compared with patients not receiving structured treatment.
- C. Declined in functional communication compared with patients not receiving structured treatment.
- D. An improvement in non-targetted factors.
Correct Answer: B
Rationale: Group communication treatment is a therapeutic approach aimed at improving speech production and comprehension in individuals with language disorders, such as aphasia. A study by Elman and Berstein-Ellis (1999) demonstrated that this treatment led to significant improvements in functional communication compared to individuals who did not receive structured therapy. The group setting provides opportunities for social interaction and practice, enhancing the effectiveness of the treatment.
To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:
- A. imply that somatic symptoms are not real.
- B. help the patient suppress feelings of anger.
- C. shift the focus from somatic symptoms to feelings.
- D. investigate each physical symptom as soon as it is reported.
Correct Answer: C
Rationale: Rationale for Choice C: Shifting the focus from somatic symptoms to feelings is crucial as it helps address the underlying emotional factors contributing to the somatic system disorder. By exploring the patient's emotions and addressing them, the nurse can help the patient gain insight into their condition and potentially reduce the somatic symptoms. This intervention promotes holistic care by addressing both physical and emotional aspects of the disorder.
Summary of other choices:
A: Implying that somatic symptoms are not real can invalidate the patient's experience and hinder therapeutic progress.
B: Helping the patient suppress feelings of anger can lead to emotional repression and exacerbate somatic symptoms.
D: Investigating each physical symptom as soon as it is reported may overlook the emotional root causes of the somatic system disorder.
Mrs. Aster occasionally has pain and stiffness in her hand and fingers. Which of the following nursing measures would most effectively ease her discomfort?
- A. Wrapping her hands in a heating pad
- B. Placing a hot water bottle on top of her hands
- C. Immersing her hands in comfortably hot water
- D. Extending her hands over a heat source, e.g., register or stove
Correct Answer: C
Rationale: Immersion in warm water provides even heat distribution, reducing stiffness and pain.