Which nursing intervention should the nurse implement for a client with gangrenous right toe scheduled for below-the-knee amputation?

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Integumentary System Test Questions Questions

Question 1 of 5

Which nursing intervention should the nurse implement for a client with gangrenous right toe scheduled for below-the-knee amputation?

Correct Answer: A

Rationale: Good nutrition supports wound healing post-amputation.

Question 2 of 5

The client diagnosed with rule-out osteosarcoma asks the nurse, 'Why am I having a bone scan?' Which statement is the nurse's best response?

Correct Answer: D

Rationale: This response directly and accurately explains the purpose of a bone scan, addressing the client's question.

Question 3 of 5

The nurse is assessing the casted extremity of a client. Which sign is indicative of infection?

Correct Answer: C

Rationale: A hot spot on the cast suggests localized infection or inflammation underneath.

Question 4 of 5

Which nursing intervention is priority for the client experiencing acute pain?

Correct Answer: A

Rationale: Assessing verbal and nonverbal behavior first identifies the pain's severity and nature, guiding subsequent interventions effectively.

Question 5 of 5

Which statement best describes the scientific rationale for the nurse holding the otoscope with the hand in a pencil-hold position when examining the client's ear?

Correct Answer: C

Rationale: The pencil-hold position allows controlled insertion, preventing the otoscope from going too deep and risking injury to the ear canal or tympanic membrane.

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