A 30-year-old client who underwent an amputation of his left leg above the knee
complains that he often feels the presence of the absent body part. He occasionally
experiences pain and an itching sensation over the amputated portion of the leg.
The
client is diagnosed with phantom limb pain. What nursing measure and client teaching
must the nurse employ when caring for this client?
A) Explain that the condition is rare and occurs due to infections
B) Instruct the client to ask for pain medication if needed
C) Explain that the condition does not interfere with prosthetic fitting
D) Encourage the client to place a pillow under the stump when sleeping
B
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As the eyes rotate upward, the upper eyelid reflexively retracts. Which cranial nerve is primarily responsible for this response?
A) Cranial nerve I B) Cranial nerve III C) Cranial nerve VI D) Cranial nerve IV
What is the most important question to ask a patient before administering rifampin (RIF) intravenously?
a. "Have you ever had gout?" b. "Are you allergic to sulfa drugs?" c. "Are you allergic to sulfite preservatives?" d. "Have you had any alcoholic beverages within the last month?"
In Indian culture, the life force is known as
a. yang c. qi b. prana d. chi
The day nurses in a psychiatric unit are receiving report from the night shift. While this is occurring, a client approaches the nurses' station, becomes very loud and offensive, and demands to be seen by the physician immediately
The appropriate nursing intervention is which of the following? 1. Inform the client that the behavior is unacceptable. 2. Tell the client to wait in his or her room until report is over. 3. Offer to assist the client to an examination room until the physician is notified. 4. Tell the client that the physician will be called as soon as report is completed.