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47. The nurse includes the important measures for stump care in the teaching plan for aclient with an amputation. Which measure would be excluded from the teaching plan?

A. Wash, dry, and inspect the stump daily.B. Treat superficial abrasions and blisters promptly.C. Apply a "shrinker" bandage with tighter arms around the proximal end of theaffected limb.D. Toughen the stump by pushing it against a progressively harder substance (e.g.,pillow on a foot-stool).

48. A 70-year-old female comes to the clinic for a routine checkup. She is 5 feet 4 inchestall and weighs 180 pounds. Her major complaint is pain in her joints. She is retired andhas had to give up her volunteer work because of her discomfort. She was told her

diagnosis was osteoarthritis about 5 years ago. Which would be excluded from theclinical pathway for this client?

A. Decrease the calorie count of her daily diet.B. Take warm baths when arising.C. Slide items across the floor rather than lift them.

D. Pl ace

items so that it is necessary to bend or stretch to reach them.

49. A client is admitted from the emergency department with severe-pain and edema inthe right foot. His diagnosis is gouty arthritis. When developing a plan of care, whichaction would have the highest priority?

A. Apply hot compresses to the affected joints.B. Stress the importance of maintaining good posture to prevent deformities.

C. Administer salicylates to minimize the inflammatory reaction.D. Ensure an intake of at least 3000 ml of fluid per day.

50. A client had a laminectomy and spinal fusion yesterday. Which statement is to beexcluded from your plan of care?

A. Before log rolling, place a pillow under the client¶s head and a pillow between theclient¶s legs.B. Before log rolling, remove the pillow from under the client¶s head and use no

pillows between the client¶s legs.

C. Keep the knees slightly flexed while the client is lying in a semi-Fobed.D. Keep a pillow under the client¶s head as needed for comfort.