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NUR 1300: Chapter 45: Amputations | Nursing School Test B

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Chapter 45: Amputations
Chapter 45: Amputations
Linton: Introduction to Medical-Surgical Nursing, 6th Edition


MULTIPLE CHOICE


1. A nurse is aware that a patient who is having his leg amputated is also having a prosthesis fit
the same time as the surgery. Which fact should the preoperative teaching plan include?
a. Extra preoperative medications will be needed.
b. A rigid dressing will be applied to accommodate the prosthesis.
c. A series of temporary prostheses will be put in place before the permanent one.
d. Wiring the residual limb will be needed to ensure acceptance of the prosthesis.
ANS: B
A rigid dressing will be applied to the residual limb to accommodate the prosthesis immediatel


DIF: Cognitive Level: Application REF: p. 993 OBJ: 3
TOP: Preoperative Teaching KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort


2. A patient asks when he should expect to be up and walking after his below-the-knee amputa
should the nurse assure him that most people with amputations can fully bear weight?
a. 3 weeks
b. 1 month
c. 6 weeks
d. 3 months
ANS: D
Most people with amputations can fully bear weight 3 months after surgery.


DIF: Cognitive Level: Comprehension REF: p. 993 OBJ: 5

, 3. A nurse is conducting a safety seminar and reminds the audience that upper extremity ampu
most frequently caused by trauma. Which population has the highest incidence of this type of a
a. School-aged girls
b. School-aged boys
c. Young men
d. Young women
ANS: C
Young men are at greater risk from work trauma because they are traditionally the ones workin
and heavy machinery.


DIF: Cognitive Level: Comprehension REF: p. 990 OBJ: 1
TOP: Incidence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease


4. An 80-year-old man with diabetes has had vascular problems with his feet and lower legs for
scheduled for a left below-the-knee amputation. Which remark by the patient indicates an unde
the procedure?
a. “I am glad this amputation will end my diabetic problems.”
b. “After they have hacked my leg, I won’t be able to drive.”
c. “If this heals well, how long until I get a prosthesis?”
d. “I hate that my left knee is going to be useless without a foot.”
ANS: C
Only this option indicates that the patient realizes the extent of the surgery.


DIF: Cognitive Level: Comprehension REF: p. 993 OBJ: 4
TOP: Amputation KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation


5. What routine preoperative diagnostic tests are appropriate for a patient anticipating a below
putation?
a. Pulse volume recording and white blood cell (WBC) count
b. Cardiac catheterization and WBC count
c. Pulse volume recording and radiographic images
d. Thermography and cardiac catheterization
ANS: A
Pulse volume recording and WBC count are two diagnostic tests for patients anticipating a belo
amputation.

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