After the health care provider recommends amputation for a patient who has nonhealing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best?

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening and allows the nurse to assess the patient's understanding and concerns about the treatment options. By asking the patient to share what they know, the nurse can address any misconceptions, provide additional information, and involve the patient in decision-making. Choice A is incorrect because it dismisses the patient's feelings and does not address the patient's concerns. Choice B is incorrect because it assumes the patient will be open to using a foot prosthesis without exploring the patient's preferences further. Choice D is incorrect because it does not address the patient's need for information and support in making an informed decision about their treatment options.

Correct Answer: C

Rationale: The correct answer is C: Slow capillary refill of the left foot. This is the most important information to report because it indicates potential compromised blood flow to the affected limb, which can lead to serious complications like ischemia and tissue damage. The priority in managing a femur fracture is to ensure adequate blood supply to prevent further damage. Choice A (Ecchymosis) is important but not as urgent as compromised circulation. Choice B (Severe pain) is expected with a femur fracture and can be managed with pain medication. Choice D (Outward pointing toes) is a concerning sign but does not directly indicate compromised circulation like slow capillary refill does.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Ensuring the weight for traction hangs freely prevents complications and maintains proper alignment. 2. This task does not require specialized skills or judgment, making it suitable for delegation to UAP. 3. UAP can be trained to understand the importance of maintaining proper traction alignment. 4. Monitoring skin condition (C) requires assessment skills, removing/reapplying traction (A) is a specialized task, and checking sensation/movement (D) requires clinical judgment.

Correct Answer: C

Rationale: The correct answer is C because placing a pillow between the patient's legs and turning the entire body as a unit reduces stress on the surgical site, preventing strain on the back muscles. This technique maintains proper alignment and supports the spine post-surgery. Choice A is incorrect because instructing the patient to move the legs before turning the rest of the body can potentially strain the back and surgical site. Choice B is incorrect as having the patient turn by grasping the side rails and pulling the shoulders over can also lead to strain on the back and surgical site. Choice D is incorrect because turning the patient's head and shoulders first, followed by the hips, legs, and feet can cause twisting and stress on the surgical site.

Correct Answer: B

Rationale: The correct answer is B, assisting the patient to sit up at the bedside. This is important to prevent esophageal irritation and ensure proper absorption of alendronate. Sitting up allows gravity to assist in moving the medication down the esophagus and reduces the risk of esophageal ulceration. Asking about leg cramps or hot flashes (A) is not directly related to the administration of alendronate. Ensuring the patient has recently eaten (C) is not necessary for alendronate administration. Administering calcium carbonate (D) is not indicated in this scenario as the focus is on alendronate administration.