A client with an intracranial aneurysm that resulted in a cerebral bleed is to be discharged to a rehabilitation facility.
Which of the following rehabilitation outcomes would be appropriate for this client?
The client will exhibit no further episodes of short-term memory loss.
The client will be able to return to their construction job in three weeks.
The client will be emotionally stable and display pre-injury personality traits.
The client will demonstrate consistent adherence to prescribed medications.
The Correct Answer is D
Choice A rationale
Absence of short-term memory loss may be desirable but depends on the injury's severity and therapy progression. Memory recovery is inconsistent and often impractical as a definitive short-term outcome goal.
Choice B rationale
Resuming construction work is unrealistic within three weeks considering potential cognitive and physical impairments. This task exceeds achievable rehabilitation milestones, emphasizing safety over rapid return to demanding roles.
Choice C rationale
Pre-injury personality traits may not fully return, as emotional and personality changes often result from cerebral insults. Emotional stability is feasible but pre-injury personality restoration is speculative.
Choice D rationale
Medication adherence reflects successful cognitive rehabilitation, supporting long-term health stability by preventing further complications. This outcome is realistic and appropriate for patients recovering from intracranial injuries. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Cerebellar injury affects balance and coordination; ensuring bed alarm use prioritizes safety for patients who are at high fall risk due to impaired motor control and unsteady gait.
Choice B rationale
Reorientation addresses confusion, often linked to cognitive or frontal brain injuries, not cerebellar function, which mainly regulates coordination and balance rather than higher-order thinking.
Choice C rationale
Turning every 2 hours prevents skin breakdown but is more relevant to immobilized patients, not those with cerebellar injuries where mobility and fall prevention are the primary concerns.
Choice D rationale
Varying the schedule may stimulate engagement but does not directly address fall risks or coordination issues, which are critical for patients with cerebellar injuries.
Correct Answer is ["D","E"]
Explanation
Choice A rationale
Weekly appointments to change the catheter are unnecessary unless specifically indicated. Most urinary catheters are changed monthly or as needed based on physician's discretion or complications.
Choice B rationale
Sexual intimacy is possible with an indwelling urinary catheter if handled properly. Providing education on safe practices promotes normalcy and quality of life for the patient.
Choice C rationale
Wearing underwear is recommended to protect the catheter and minimize risk of contamination or accidental dislodgement. This information supports proper hygiene and comfort.
Choice D rationale
Regular emptying of the leg bag every 4 hours or more frequently prevents overfilling, which could lead to backflow and increased risk of urinary tract infections.
Choice E rationale
Foul-smelling, cloudy urine can indicate infection such as a urinary tract infection. Prompt reporting ensures early treatment and prevention of complications.
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