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 B

Explanation

Choice A reason: Elevated ammonia relates to liver failure, not pancreatitis. Pancreatitis involves pancreatic enzyme leakage, not nitrogen metabolism. Scientifically, ammonia rises in hepatic encephalopathy, lacking relevance to pancreatic inflammation, making this an incorrect marker for the condition.

Choice B reason: Elevated lipase is a hallmark of pancreatitis, as inflamed pancreatic acinar cells release this enzyme into blood. Scientifically, it’s a specific diagnostic indicator, rising with tissue damage, aligning with pancreatitis pathophysiology for accurate clinical identification.

Choice C reason: Prolonged PT/INR reflects coagulopathy, often liver-related, not pancreatitis unless complicated by disseminated intravascular coagulation. Scientifically, this isn’t a primary marker, as pancreatitis targets digestion, not clotting, making it less expected in typical cases.

Choice D reason: Decreased albumin suggests chronic liver disease or malnutrition, not acute pancreatitis. Pancreatitis doesn’t directly impair protein synthesis. Scientifically, albumin drops over time, not acutely, misaligning with pancreatitis’s rapid inflammatory onset and diagnostic profile.

A. Believes the death is punishment for bad behavior B. Understands that everyone dies eventually C. Recognizes the parent will never wake up D. Expresses curiosity about the funeral service

Correct Answer is A

Explanation

Choice A reason: Preschoolers (ages 3-5) often exhibit magical thinking, believing their actions cause events like death. This egocentric view links bad behavior to parental loss as punishment, reflecting their developmental stage where causality is self-focused, not abstract, aligning with typical grief responses in this age group scientifically.

Choice B reason: Understanding universal mortality requires abstract thinking, which develops later (around adolescence). Preschoolers lack this cognitive capacity, focusing instead on concrete, self-related explanations. This advanced comprehension is inconsistent with their developmental stage, making it an unlikely response to parental death in this age group.

Choice C reason: Recognizing permanent loss (never waking up) emerges around school age (6-12), not preschool. Younger children see death as reversible, like sleep, due to limited abstract reasoning. This understanding exceeds their developmental grasp, misaligning with typical preschool grief perceptions rooted in concrete thinking.

Choice D reason: Curiosity about funerals may occur, but it’s not a defining preschool grief trait. Their focus is more on magical thinking or separation anxiety, not procedural interest. This response, while possible, lacks the developmental specificity of self-blame, making it less consistent with scientific age-related grief patterns.

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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?

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Naxlex Comprehensive Predictor Exams

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