The nurse is planning care for a client who has returned from ...

[moongchi]

The nurse is planning care for a client who has returned from surgery to amputate the right leg. The nurse plans to initiate which intervention?
 
  1. A referral to a psychiatrist
  2. Distraction measure for the client
  3. Massage therapy
  4. Encourage the client to verbalize feelings about the loss

Question 2

The nurse is caring for a client with a compound fracture. What treatment should the nurse anticipate for this client?
 
  1. A closed reduction
  2. Surgery to pin the bone
  3. A splint until the wound is healed
  4. Traction to realign the bone

[jennafosdick]

Answer to Question 1

Answer: 4

1. Clients with amputations will experience a loss that must be grieved. It is too early in care to plan a psychiatric referral as the client may proceed through the grieving process effectively.
2. Distraction would discourage progression through the grieving process.
3. Massage therapy is helpful but is not a technique to help the client deal with the loss.
4. The nurse plans to begin by helping the client verbalize feelings about the loss.

Answer to Question 2

Answer: 2

1. A closed reduction is done on a stable, incomplete fracture.
2. A compound fracture is treated in surgery to pin the bone and close the wound.
3. The bone needs to be set immediately to prevent infection and nerve damage.
4. Traction would not be used for a compound fracture because the bone must first be aligned.