Question

47. A nurse is caring for a client following a below-the-knee amputation. The client states, "My life is over." Which of the following responses should the nurse make?

1. Would you like to meet with another client who is an amputee?"
2. "Why do you think your life is over?"
3. "You are upset. We can talk about this later."
4. "Most people can adjust following this surgery."

48. A nurse in the PACU is assessing a client who is postoperative following general anesthesia. Which of the following findings is the priority to address?

1. Indistinct, rambling speech
2. Piloerection of the skin
3. Decreased body temperature
4. Vomiting upon arousal

49. A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?

1. Collect information about the irritant that caused the injury.
2. Administer proparacaine eyedrops into the affected eye.
3. Instill 0.9% sodium chloride solution into the affected eye.
4. Place a strip of pH paper onto the cul-de-sac of the affected eye.

50. A nurse is providing Instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?

1. "You will need cryotherapy for 1 to 2 weeks."
2. You will need to take an antiviral medication for 6 months."
3. You will need three follow-up blood tests within a 24-month period."
4. "You will need to be monitored for 15 minutes after receiving each medication dose."

Answer 1

1- why is are you feeling low.

( The nurse should listen the patient cerefully.The nurse should motivate the patient by telling stories of the people who were in the same condition but never give up,how they adjusted and now living a normal life.)

2- Decreased body temperature.

(hypothermia is one of the most common post operative complication following general anaesthesia. It can lead to infection of surgical site, increased blood loss, prolong postanaesthetic recovery etc. So its must to maintain a normal temperature)

3- Instill 0.9% sodium chloride solution into the affected eye.

(Minims saline are single-use eye drops containing sodium chloride 0.9%. This is a solution of salt in water at the same concentration as is found normally in the body. The eye drops have no physiological effect, they are simply used to wash out irritants, harmful substances or superficial foreign bodies from the eye)

4- You will need cryotherapy for 1- 2 week.

( Cryotherapy help in primary syphilis. It helps relieve pain in the affected area.)