A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?

Ability to self-feed with the use of adaptive equipment

Ability to achieve independent transfer from bed to wheelchair

Use of a wheelchair with a chin or mouth stick

Independent control of bowel and bladder function

Answer and Explanation

The Correct Answer is A

A.   This is a realistic goal for a C5 injury. Patients can often develop the strength and coordination in their arms to use adaptive equipment like a mobile arm support or a built-up spoon to feed themselves.
B.   This goal is generally not achievable with a C5 injury. Independent transfers require significant lower body strength and coordination, which are completely absent in this case.
C.   This is a potential option, but it's not a rehabilitation goal. It's more of an adaptive equipment recommendation to assist with mobility and independence in tasks like operating computer or phone.

D.   This is not a realistic goal for a complete spinal cord transection at C5. Bowel and bladder function are typically impaired below the level of injury.

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Correct Answer is B

Explanation

A. This would be overwhelming for a client with global aphasia, as they have difficulty processing information.
B. This is the correct approach. Breaking down information into smaller, manageable chunks makes it easier for the client to understand.
C. While consistency is important, limiting communication to one method can be restrictive. It's better to use a variety of techniques (verbal, nonverbal, written, etc.) to support understanding.
D. This can be limiting and frustrating for the client. It's essential to encourage all forms of communication, even if it's difficult.

Correct Answer is ["0.5"]

Explanation

Convert the prescribed dose of digoxin from micrograms to milligrams

1 mg equals 1000 mcg.

Therefore, 125 mcg is equivalent to 0.125 mg.

Since the available tablets are 0.25 mg each, you would divide the required dose (0.125 mg) by the strength of the available tablet (0.25 mg).

This calculation results in 0.5

The nurse should administer half a tablet per dose.

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A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

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