Chapter 45: Amputations

Chapter 45: Amputations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is aware that a patient who is having his leg amputated is also having a prosthesis fitted during at 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 immediately after surgery.

 

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 amputation. When 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

TOP:   Amputation Recovery                      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. A nurse is conducting a safety seminar and reminds the audience that upper extremity amputations are most frequently caused by trauma. Which population has the highest incidence of this type of amputation?

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 working with farm 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 10 years and is scheduled for a left below-the-knee amputation. Which remark by the patient indicates an understanding of 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-the-knee amputation?

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 below-the-knee amputation.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 991             OBJ:   4

TOP:   Diagnostic Tests and Procedures      KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort