A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?
A Drain the bladder with a clean intermittent catheter every hour
B Decrease fluid intake
C Observe the urine for a foul odor
D Keep an indwelling catheter in place at all times
The Correct Answer is A
Choice A Rationale: The nurse will include instructions on draining the bladder with a clean intermittent catheter at appropriate intervals to prevent urinary retention and complications. This should be done every 3 to 6 hours, depending on the amount of fluid intake and output.
Choice B Rationale: Decreasing fluid intake is not typically recommended for individuals with spinal cord injuries, as adequate hydration is important.
Choice C Rationale: Observing the urine for a foul odor is relevant to monitor for urinary tract infections, but it is not a preventive measure.
Choice D Rationale: Keeping an indwelling catheter in place at all times is not typically recommended due to the increased risk of urinary tract infections and other complications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Rationale: Repositioning may be important for preventing complications, but it does not explain the pain described by the client.
Choice B Rationale: A continual inflammatory process is not typically the cause of the pain described by the client with a spinal cord injury.
Choice C Rationale: Nerve damage in the spinal cord is a common cause of neuropathic pain with these characteristics.
Choice D Rationale: Telling the client that the pain will go away in 2 weeks without further assessment or explanation is not accurate and may raise unrealistic expectations.
Correct Answer is D
Explanation
Choice A Rationale: Ringing in the ears (tinnitus) is not a common symptom of Bell's Palsy. Bell's Palsy primarily affects facial muscles.
Choice B Rationale: Bilateral pain from the neck upward is not a typical manifestation of Bell's Palsy. Bell's Palsy typically affects one side of the face.
Choice C Rationale: Progressive loss of ability to use all facial muscles is not the usual pattern of Bell's Palsy. It typically presents with sudden unilateral weakness of the face.
Choice D Rationale: Sudden unilateral weakness of the face is a hallmark symptom of Bell's Palsy. This condition often causes weakness or paralysis of the facial muscles on one side of the face, leading to facial drooping.
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