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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Eating 2 hours before an IVP is incorrect; fasting is required 4-8 hours prior to ensure clear imaging. Scientifically, food can obscure contrast in the urinary tract, reducing diagnostic accuracy, showing misunderstanding of prep needs.
Choice B reason: Limiting fluids post-IVP is wrong; hydration flushes dye, preventing kidney strain. Scientifically, adequate fluid intake post-contrast is standard to reduce nephrotoxicity risk, indicating the client misgrasps aftercare critical to renal safety.
Choice C reason: Not needing consent is false; IVP involves contrast risks (e.g., allergy), requiring informed consent. Scientifically, legal and medical standards mandate consent for invasive imaging, reflecting a lack of understanding about procedural protocols.
Choice D reason: A warming sensation from dye injection is accurate, as contrast dilates vessels briefly. Scientifically, this common reaction shows the client understands the procedure’s sensory effects, aligning with expected physiological responses per IVP education.
Correct Answer is D
Explanation
Choice A reason: Increased caloric intake contradicts methylphenidate’s appetite-suppressant effect, a stimulant for ADHD. It boosts dopamine and norepinephrine, enhancing focus, not hunger. This suggests ineffectiveness or misreporting, as the drug typically reduces eating, misaligning with its pharmacological action on behavior.
Choice B reason: A better grasp of reality is vague and unrelated to ADHD or methylphenidate’s core effects. The drug improves attention and impulse control, not perception of reality, which is more relevant to psychosis. This does not indicate efficacy for ADHD scientifically.
Choice C reason: Weight loss is a common side effect of methylphenidate due to appetite suppression, not a direct efficacy marker. While it may occur, it does not confirm improved ADHD symptoms like focus, making it secondary to the drug’s therapeutic goal in treatment.
Choice D reason: Completing homework on time reflects improved focus and impulse control, methylphenidate’s primary goals in ADHD. By increasing dopamine in the prefrontal cortex, it enhances executive function, enabling task completion, a direct measure of efficacy per scientific intent.
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