The patient scheduled for a Syme amputation (modified ankle disarticulation amputation) in the morning is concerned about his future ability to stand on the amputated extremity. When he asks the nurse about this, what is the nurse's best response?
A) "You will be able to withstand full weight-bearing on this durable extremity after it heals."
B) "You will have minimal weight-bearing on this extremity and will require the use of an assistive device."
C) "You will not be able to use this extremity and will receive teaching on use of a wheelchair."
D) "You will be fitted for a prosthesis, and your commitment to rehabilitation will determine your functional abilities."
A
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The home care nurse is preparing to visit an older female patient who lives in her son's home. Prior to the visit, which risk factors for elder abuse will the nurse review?
1. Male gender 2. Hispanic race 3. Impaired cognitive status 4. High socioeconomic status
Select the statement by the nurse that is most accurate when instructing a client with a newly formed permanent colostomy on how to use the irrigation set to prevent constipation
a. Make sure the irrigation bag is above the level of your head for best results. b. Insert the lubricated catheter 2 to 4 inches into the stoma. c. Dilate the stoma prior to beginning the procedure by using one finger. d. Use cold water to best stimulate colon pe-ristalsis.
The nurse is aware that the child with juvenile idiopathic arthritis (JIA) is at risk for joint destruction when:
a. The child gives up active exercise b. Streptococcus or Staphylococcus invade the synovial fluid c. The joints react to being overstressed by weight increase d. Cartilage is eroded by a thickening synovial membrane
Children with positive social environments:
1. Are at risk for mental illnesses. 2. Have less of a risk for developing mental illnesses. 3. Do not adjust to other cultures easily. 4. Must have control over their personal environment.