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    Ati pn adult medical surgical 2023 proctored exam
    Select All That Apply

    A nurse at a rehabilitation facility is contributing to the plan of care for a client who has had a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

    Explanation & Rationale

    A. Restrict visitors to family members until the client is able to wear a prosthesis: Restricting visitors is unnecessary and may increase feelings of isolation. Social support from friends and peers can enhance emotional adjustment and motivation during rehabilitation. B. Instruct the client to ignore phantom pain sensations: Ignoring phantom limb pain is not effective; the client should be taught coping strategies, pain management techniques, and report persistent pain to the healthcare team for appropriate interventions. C. Encourage the client to talk with another client who completed rehabilitation for amputation: Peer support provides encouragement, realistic expectations, and shared coping strategies. This intervention can enhance the client’s adjustment and promote psychological well-being. D. Ask the client to describe her feelings about the loss of the affected limb: Encouraging the client to express emotions supports grief processing and emotional adjustment. Open communication helps the nurse assess psychological needs and provide targeted support. E. Suggest that family members bring clothing for the client from home: Familiar clothing can increase comfort, provide a sense of normalcy, and support the client’s dignity and autonomy during rehabilitation. Personal items contribute to a supportive healing environment.

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