An adolescent female client, diagnosed with osteosarcoma, has a below-the-knee amputation as part of the treatment regimen. Which behavior, assessed by the nurse, indicates the client is beginning to accept the amputation?
1. Complaints of pain in the missing leg
2. Insists that a prosthetic be applied prior to participating in physical therapy.
3. Insists on covering the lower portion of the body prior to peer visitation.
4. Watches the dressing change
4
Explanation:
1. Phantom pain is an expected finding after an amputation; however, this does not indicate acceptance.
2. This indicates she wants to return to mobility but has not yet accepted the stump.
3. Being in a wheelchair with a blanket cover indicates she doesn't want her friends to be aware of her amputation.
4. This indicates the girl is willing to look at the stump, which is a step toward acceptance.
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A) Metabolic acidosis B) Metabolic alkalosis C) Respiratory acidosis D) Respiratory alkalosis
A patient's cardiac monitor reveals a regular rhythm with a rate of 240 beats per minute. No P waves are distinguishable. The patient is alert and says, "My heart is racing." What nursing intervention is indicated?
1. Gather equipment to begin anticoagulant therapy. 2. Defibrillate the patient. 3. Prepare the patient for immediate cardioversion. 4. Ask the patient to bear down as if moving the bowels.
A nurse is assessing a 49-year-old homeless male client. The nurse fashions the assessment process based on the understanding that the client would most likely demonstrate which of the following?
A) Cooperation and talkativeness to share his ideas B) Agreement to allow a complete physical examination C) Desire for in-depth discussion of his condition D) Resistance and caution about the interaction
Objective symptoms are those that you
A. think are correct. B. are told about by the patient. C. use your senses to detect. D. suspect may be true.