Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A nurse is caring for a patient who has an amputation of a limb. The patient begins to experience extreme discomfort in the area where the limb once was. He is near crying and diaphoretic. The nurse wants to properly document the situation, but is not sure of what nursing diagnosis to use. She seeks help from her unit manager and was able to come up with the most appropriate nursing diagnosis, which is:
  1. Disturbed sensory perception related to bed rest
  2. Hopelessness related to altered lifestyle
  3. Chronic pain related to phantom limb phenomenon
  4. Ineffective coping related to surgery
Explanation
Answer - C - She seeks help from her unit manager and was able to come up with the most appropriate nursing diagnosis, which is chronic pain related to phantom limb phenomenon. Phantom limb sensation is a real experience with no known cause or cure, but over time, becomes less of an issue for the patient.
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