Amputation: Limb Loss Quiz!

15 Questions | By Junell | Last updated: Mar 22, 2022 | Total Attempts: 1547

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1.

Psychosocial Integrity A client who had an elective below-the-knee amputation reports pain in the part of his leg that was amputated. What is the nurse’s best response to his pain?
- A.
  
  “The pain will go away in a few days or so.”
- B.
  
  “That’s phantom limb pain and every amputee has that.”
- C.
  
  “On a scale of 0 to 10, how would you rate your pain?”
- D.
  
  “The pain is not real, so we don’t treat it.”
2.

What is phantom limb pain?
- A.
  
  Pain felt in an area near to amputated limb.
- B.
  
  Pain felt in an area that has been amputated.
- C.
  
  Pain felt in the opposite amputated body part.
3.

What should you encourage the patient with amputation to perform?
- A.
  
  Encourage to take pain reliever.
- B.
  
  Encourage to don't mind the procedure to be performed.
- C.
  
  Express feelings about lost of limb.
4.

A client says, "I hate the idea of being an invalid after they cut off my leg." Which of the following would be the nurse's most therapeutic response?
- A.
  
  "At least you will still have one good leg to use."
- B.
  
  "Tell me more about how you're feeling."
- C.
  
  "Let's finish the preoperative teaching."
- D.
  
  "You're lucky to have a wife to care for you."
5.

What are the major complications of having an amputation performed?
- A.
  
  Infections
- B.
  
  Skin breakdown
- C.
  
  Phantom limb pain
- D.
  
  Joint contractures
6.

Flexion contractures are contractures of the hip or knee are seen in patients with amputations of the lower extremity.
- A.
  
  True
- B.
  
  False
7.

The nurse’s primary focus is to monitor for signs indicating that there is sufficient tissue perfusion but no hemorrhage. The skin flap at the end of the residual (remaining) limb should be pink in a light-skinned person and not discolored (lighter or darker than other skin pigmentation) in a dark-skinned patient. The area should be warm but not hot.
- A.
  
  True
- B.
  
  False
8.

Opioid analgesics are not as effective for PLP as they are for residual limb pain.
- A.
  
  True
- B.
  
  False
9.

Wrapping with elastic bandages can also be effective in reducing edema, shrinking the limb, and holding the wound dressing in place. For wrapping to be effective, reapply the bandages every 4 to 6 hours or more often if they become loose.
- A.
  
  True
- B.
  
  False
10.

A patient with peripheral vascular disease (PVD) and diabetes ask what he can do to help prevent amputation. What is the best response of the nurse?
- A.
  
  There is not really anything you can do to help.
- B.
  
  Stopping smoking would help prevent vasoconstriction.
- C.
  
  You will not need to check your blood glucose levels.
- D.
  
  It is important to eat big meals so your body can heal.
11.

What is an appropriate outcome for a nursing diagnosis, Anxiety, related to the perceived threat of disability?
- A.
  
  Comfort is increased; verbalized pain is less.
- B.
  
  Anxiety is relieved; the patient verbalizes concern related to disability.
- C.
  
  Grief is resolved; the patient expresses an acceptance of loss.
- D.
  
  Residual limb is cleaned; no exudate, redness, or edema is observed.
12.

A patient who has a below-the-elbow prosthesis shows the home health care nurse the residual limb, which is red, edematous, and warm to the touch. What should the nurse instruct this patient to do?
- A.
  
  Apply soothing lotion to the residual limb before replacing the prosthesis.
- B.
  
  Dampen the prosthetic limb sock to hydrate and cool the residual limb.
- C.
  
  Pad the socket with lambs wool and replace the prosthesis.
- D.
  
  Leave the prosthesis off and notify physician.
13.

A home health care nurse suspects a neuroma in a patient who had an above-the-knee amputation 1 month earlier. Which complaint by the patient-led the nurse to suspect a neuroma?
- A.
  
  Area of swelling and bruising on distal portion of residual limb
- B.
  
  Prickling sensation over residual limb
- C.
  
  Sharp severe pain in the residual limb
- D.
  
  Area of numbness on distal portion of residual limb
14.

Which major situational occurrences might lead to amputations?
- A.
  
  Trauma
- B.
  
  Disease
- C.
  
  Carelessness
- D.
  
  Congenital defects
15.

What should a nurse consider when selecting possible nursing diagnoses for a 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-the-knee amputation?
- A.
  
  Anxiety, related to knowledge deficit of procedure
- B.
  
  Disturbed body image, related to loss of body part
- C.
  
  Sexual dysfunction, related to perceived disfigurement
- D.
  
  Disturbed self-image, related to loss of independence
- E.
  
  Activity intolerance, related to bed rest