A nurse is assisting in the care of a client who has quadriplegia. Which of the following actions should the nurse take?

Place the client’s glasses on the bedside table.

Place the call light within the client’s reach.

Check on the client every 4 hr.

Place the client in a room near the nurses’ station.

Answer and Explanation

The Correct Answer is B

Choice A reason: Glasses on the bedside table may be inaccessible for a quadriplegic client lacking arm movement. This doesn’t ensure immediate utility or safety. Scientifically, quadriplegia limits motor function, requiring adaptive aids within reach, making this less practical than direct assistance options.

Choice B reason: Placing the call light within reach empowers the quadriplegic client to summon help, addressing their limited mobility. This aligns with scientific rehabilitation principles, enhancing independence and safety by ensuring communication access, critical for managing needs in paralysis effectively.

Choice C reason: Checking every 4 hours is insufficient for quadriplegia, where urgent needs (e.g., pressure sores) arise faster. Scientifically, frequent monitoring is standard, and this gap risks neglect, making it less proactive than enabling client-initiated contact for timely care and intervention.

Choice D reason: A room near the station aids staff response but doesn’t guarantee immediate help without client input. Scientifically, proximity alone doesn’t address quadriplegia’s dependency needs as directly as a call light, which ensures the client can signal distress promptly.

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Correct Answer is D

Explanation

Choice A reason: A bedside table 2 feet away hinders reach, increasing fall risk. It should be closer for safe access to essentials in bed.

Choice B reason: Dim lighting obscures hazards, raising fall risk. Bright, even illumination is needed to enhance visibility for a client prone to falling.

Choice C reason: Area rugs on slick floors create tripping hazards, worsening fall risk. Secure or remove them to stabilize footing for safety.

Choice D reason: Moving the bed downstairs eliminates stair falls, a major risk. It’s a key environmental adaptation for safe mobility in at-risk clients.

A. "I will no longer need regular gynecological examinations." B. "I will have a large scar on my stomach after this procedure." C. "I am thankful I am done having children." D. "I should expect my periods to resume in 1 month."

Correct Answer is C

Explanation

Choice A reason: Stating no need for gynecological exams post-hysterectomy is incorrect. Even without a uterus, pelvic exams monitor for cancers like ovarian or vaginal. This misunderstanding suggests the client lacks full awareness of long-term care needs, indicating incomplete informed consent about the procedure’s implications on future health monitoring.

Choice B reason: Expecting a large stomach scar is inaccurate for a vaginal hysterectomy, which avoids abdominal incisions unlike abdominal hysterectomy. This misconception shows the client does not understand the surgical approach, a key consent element, as it impacts recovery and risks, suggesting consent was not fully informed.

Choice C reason: Expressing relief about no more children aligns with understanding a hysterectomy removes the uterus, ending menstruation and fertility. This reflects comprehension of the procedure’s purpose and permanent outcome, a core aspect of informed consent, indicating the client grasps the surgery’s reproductive implications accurately.

Choice D reason: Expecting periods to resume post-hysterectomy is wrong, as removing the uterus stops menstruation permanently. This error reveals a critical misunderstanding of the procedure’s effects, a fundamental consent requirement, suggesting the client has not been adequately informed about the surgery’s impact on her menstrual cycle.

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A nurse is assisting in the care of a client who has quadriplegia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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