A patient is scheduled to have a lower extremity amputation. What ...

[NguyenJ]

A patient is scheduled to have a lower extremity amputation. What action by the nurse takes priority?
 
  a. Discuss stump management and prosthe-ses.
  b. Ensure informed consent is on the chart.
  c. Determine the patient's goal for pain con-trol.
  d. Administer the preoperative antibiotic.

Question 2

An older adult patient is being evaluated for a possible duodenal ulcer (DU). Which of the following assessments supports the diagnoses? (Select all that apply.)
 
  a. Passing a moderate amount of dark red-dish-brown stool
  b. Reporting a stabbing pain in the epigastric region
  c. Asking for some crackers to stop my stomach cramps
  d. Reporting the need to take antacid tablets most days
  e. Having a rigid abdomen about 2 hours after eating

[lgoldst9]

Answer to Question 1

B
Prior to any operation, the nurse ensures informed consent is on the chart. The other options are appropriate actions, but the surgery cannot occur without consent.

Answer to Question 2

A, C, D
Typically the symptoms of DU are patterned by periods of exacerbation and remission and fol-low a pain-food-relief pattern. The pain begins 2 to 4 hours after meals, is immediately relieved by food or antacids, is located in the mid epigastrium, and may be described as a burning or cramplike pain. On physical examination, the only abnormality is possibly a tender epigastrium. A rigid abdomen could indicate a perforation of the ulcer. Stabbing epigastric pain is not a ma-nifestation.

[NguyenJ]

Excellent

[bulacsom]

TYSM