List four actions to take when caring for a patient with an amputated leg.
What will be an ideal response?
· Avoid placing pillows under the amputated extremity.
· Position the amputated leg flat on the bed.
· Avoid elevating the head of the bed for prolonged periods.
· Keep legs in a position of adduction.
· Use a trochanter roll.
· Avoid positioning the patient with pillows between the legs.
· Assist the patient to lie in the prone position twice a day, if permitted.
· Encourage and assist the patient to move in bed frequently.
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Abuse should be reported by ________________________
ANS:
The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective?
A) "The solution should be infused cold.". B) "Redness and warmth around the tube insertion site is expected.". C) "We should notify the health care provider if the drainage is cloudy.". D) "Weight gain and a productive cough are expected with the treatments.".
A client has a draining wound that is contaminated with Staphylococcus aureus. The nurse should observe
A) Droplet precautions B) Universal precautions C) Reverse precautions D) Body-substance isolation
While examining a newborn, the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani maneuver. The nurse recognizes these findings as a sign that the newborn probably has:
a. Polydactyly. c. Hip dysplasia. b. Clubfoot. d. Webbing