Nokea
The 14-year-old boy who is scheduled for left leg amputation says to the nurse, 'What in the world am I going to do with only one leg?' Which is the nurse's therapeutic response?
- A. This is a tough thing to go through'
- B. With a prosthesis, you will be as good as new.'
- C. It is way too early to be concerned about that now.'
- D. When my brother had his leg removed, he did great!'
Correct Answer: A
Rationale: The patient's concern should be acknowledged and the patient encouraged to express feelings. Telling the patient he will be as good as new is false reassurance and does not further encourage the patient to express feelings. The patient IS concerned about having to deal with one leg; telling the patient it is way too early to be concerned is inappropriate and nontherapeutic. The nurse is changing the subject when talking about the brother who also had his leg removed.
You may also like to solve these questions
Which should the nurse expect to see in the plan of care for a patient following a myelogram in which water-soluble dye was used?
- A. Position in a semi-Fowler's position for 8 hours
- B. Place patient flat on back to compress puncture site.
- C. Ambulate for brief periods to lessen postmyelogram headache.
- D. Limit fluids to increase absorption of the dye.
Correct Answer: A
Rationale: The patient should be positioned in the semi-Fowler's position for 8 hours to encourage the dye to stay in the lower spine. After an oil-based dye is used, the patient is placed in a flat position for up to 12 hours. The patient should lie quietly, not ambulate. Fluids should be encouraged to help the body absorb the dye from the spinal column.
The nurse administering the drug colchicine for gout will give $0.5 \mathrm{mg}$ hourly for hours.
Correct Answer: 12
Rationale: Colchicine is given orally in a dose of $0.5 \mathrm{mg}$ for a period of 12 hours or until relief from pain is achieved or diarrhea occurs.
The nurse reinforces instructions for the patient who is to have a unicompartmental knee replacement that which is a major advantage of this partial knee replacement?
- A. the patient will be up and walking 2 to 3 hours after the operation.
- B. the kneecap is completely removed.
- C. the procedure is especially helpful in the treatment of rheumatoid arthritis (RA).
- D. a small titanium disk replaces the worn cartilage.
Correct Answer: A
Rationale: Unicompartmental knee arthroplasty is also referred to as partial knee replacement in which the worn cartilage is replaced with a plastic disk. It is not as invasive as a full knee replacement and does not disturb the kneecap so that the patient can be up and walking in 2 to 3 hours after surgery. It is not recommended for patients with Rheumatoid Arthritis.
A 16-year-old male patient presents in the emergency room with a pathologic fracture of the left femur and complains of pain on weight-bearing. These are common indicators of which disorder?
- A. osteogenic sarcoma.
- B. osteoporosis.
- C. rheumatoid arthritis.
- D. osteochondroma.
Correct Answer: A
Rationale: Osteogenic sarcoma occurs in young men aged 10 to 25. They are malignant bone tumors that can cause a pathologic fracture and they are accompanied by pain on weight-bearing. Osteoporosis is a disorder that results in loss of bone density. Rheumatoid arthritis is a systemic inflammatory autoimmune disease. Osteochondromas are benign and usually do not cause fractures.
A 56-year-old patient is being seen for osteoarthritis of the knee in the clinic. Which should the nurse recommend when discussing strengthening exercises?
- A. Jogging
- B. Walking rapidly on a treadmill
- C. Bicycling
- D. Aerobic exercises
Correct Answer: C
Rationale: Bicycling or swimming is recommended for osteoarthritis of the hip or knee. Jogging would put undue stress on knee joints. Climbing stairs should be avoided. Walking should be done on level ground, not up or down elevations.