A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

"Respite care provides holistic support and care for a client who is terminally ill."

"Respite care is a continuation of psychological support after a family member dies."

"Respite care helps relieve pain and promote comfort

"Respite care allows the primary caregiver time away from day-to-day care responsibilities."

Answer and Explanation

The Correct Answer is D

A.   While respite care can be part of end-of-life care, it is not limited to terminally ill clients. Respite care is designed to provide temporary relief to caregivers for individuals with various chronic conditions, including disabilities like quadriplegia.
B.   Respite care is not specifically related to psychological support after a death. Instead, it is intended to give caregivers a break from their caregiving responsibilities, regardless of the patient's prognosis. Thus, this response does not effectively describe the function of respite care.
C.   While respite care can involve pain management and comfort measures, this statement does not fully capture the primary purpose of respite care, which is to provide temporary relief for caregivers. It may address some aspects of patient care, but it doesn't highlight the caregiver's need for a break.
D.   Respite care is specifically designed to provide primary caregivers with relief from the daily responsibilities of caregiving. It allows them time to rest, attend to personal needs, or manage other responsibilities, which can help prevent caregiver burnout and improve overall well-being for both the caregiver and the client.

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Correct Answer is D

Explanation

A. A complete spinal cord injury means that both sensory and motor functions are lost below the level of the injury. If the client had some movement and sensation, it would indicate an incomplete injury, which is not consistent with a complete transection.
B. This option describes a situation known as "motor incomplete," where there is preserved motor function but loss of sensory function below the level of injury. However, in a complete transection at C7, there would be no movement or sensation below that level, making this statement inaccurate.
C. This describes a condition where sensory pathways remain intact while motor pathways are disrupted, which is seen in incomplete spinal cord injuries. However, a complete transection at C7 would mean both movement and sensation are absent below the injury level, making this option incorrect.
D. In the case of a complete spinal cord transection at C7, the client would experience total loss of both sensation and movement below that level. This is consistent with the definition of a complete spinal cord injury.

A. Jaundice B. Respiratory status C. Ankle ulcer D. Joint pain E. Heart rate at 1000

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,C"},"C":{"answers":"A"},"D":{"answers":"A,C"},"E":{"answers":"A,B,C"}}

Explanation

Rationale Assessment Findings Jaundice

Sickle Cell Disease: Yes. Jaundice occurs due to hemolysis of red blood cells, which is common in sickle cell disease as the sickled cells break down more rapidly than normal red blood cells.

Iron Deficiency Anemia: No. Jaundice is not a characteristic finding of iron deficiency anemia. Leukemia: No. Jaundice is not typically associated with leukemia.

Respiratory Status

Sickle Cell Disease: Yes. Clients may experience dyspnea and labored breathing due to vaso-occlusive crises, which can lead to lung involvement (acute chest syndrome).

Iron Deficiency Anemia: No. While severe anemia can lead to fatigue and shortness of breath, it does not typically cause labored breathing as a primary finding.

Leukemia: Yes. Respiratory issues can arise if leukemia causes significant bone marrow infiltration or if there is an infection due to immunosuppression.

Ankle Ulcer

Sickle Cell Disease: Yes. Chronic ulcers are common in sickle cell disease due to poor circulation and vaso-occlusive episodes.

Iron Deficiency Anemia: No. Ankle ulcers are not a characteristic finding in iron deficiency anemia. Leukemia: No. While leukemia can lead to skin issues or infections, ulcers are not a typical finding. Joint Pain

Sickle Cell Disease: Yes. Joint pain is a common symptom due to vaso-occlusive crises, where sickled cells block blood flow to the joints.

Iron Deficiency Anemia: No. Joint pain is not a common symptom of iron deficiency anemia.

Leukemia: Yes. Joint pain can occur due to leukemic infiltration of the bone marrow or as a side effect of treatments.

Heart Rate at 1000 (112/min)

Sickle Cell Disease: Yes. Tachycardia can occur in response to pain, hypoxia, or anemia due to sickle cell disease.

Iron Deficiency Anemia: Yes. Increased heart rate can occur as the body compensates for decreased hemoglobin and oxygen-carrying capacity.

Leukemia: Yes. Tachycardia can also be seen in leukemia, particularly if the patient is anemic or experiencing systemic effects of the disease.

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A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a transection of the spinal cord at the level of cervical 7. Which of the following assessment findings should the nurse anticipate?

Correct Answer is D

Explanation

A nurse is caring for a client who has sickle cell disease. Exhibits For each client finding, click to specify if the finding is consistent with sickle cell disease, iron deficiency anemia. or leukemia. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,C"},"C":{"answers":"A"},"D":{"answers":"A,C"},"E":{"answers":"A,B,C"}}

Explanation

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