A nurse is teaching a client who has a complete spinal cord injury about bowel and bladder management. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
(Select All that Apply.)

"It will be necessary to take a stool softener to keep you from becoming constipated."

"Suprapubic catheterization might have to be done if you are unable to catheterize yourself."

"You will need to learn how to do self-intermittent catheterization to drain your bladder."

"Do not drink fluids excessively as this may cause diarrhea."

"To achieve a bowel movement, dally digital stimulation will need to be done."

Answer and Explanation

Correct Answer : A,B,C,E

Choice A Reason:

"It will be necessary to take a stool softener to keep you from becoming constipated." This instruction is correct. Individuals with spinal cord injuries often experience bowel dysfunction, including constipation, due to decreased mobility and impaired bowel function. Stool softeners can help soften the stool and facilitate easier bowel movements, reducing the risk of constipation and associated complications such as fecal impaction.

Choice B Reason:

"Suprapubic catheterization might have to be done if you are unable to catheterize yourself." This instruction is correct. Suprapubic catheterization involves the insertion of a catheter through the abdominal wall directly into the bladder to drain urine. It may be necessary if the client is unable to perform intermittent catheterization independently or if other methods of bladder management are ineffective or contraindicated.

Choice C Reason:

"You will need to learn how to do self-intermittent catheterization to drain your bladder." This instruction is correct. Self-intermittent catheterization involves inserting a catheter into the bladder to drain urine at regular intervals. It is a commonly used method of bladder management for individuals with spinal cord injuries to prevent urinary retention and bladder distention.

Choice D Reason:

"Do not drink fluids excessively as this may cause diarrhea," is not typically included in bowel and bladder management instructions for individuals with spinal cord injuries. Hydration is important for overall health and may help prevent complications such as urinary tract infections, kidney stones, and constipation. Therefore, option D is not appropriate for inclusion in the teaching for a client with a complete spinal cord injury.

Choice E Reason:

"To achieve a bowel movement, daily digital stimulation will need to be done." This instruction is incorrect. Digital stimulation involves gently stimulating the rectum with a lubricated gloved finger to initiate a bowel movement. It can help individuals with spinal cord injuries who have neurogenic bowel dysfunction to stimulate bowel motility and facilitate bowel evacuation.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F"]

Explanation

Choice A Reason:

Asthma flare-ups during exercise is correct . Exercise-induced asthma is a common feature of nonallergic asthma. Physical activity can trigger bronchoconstriction and asthma symptoms in individuals with this type of asthma.

Choice B Reason:

Nasal inflammation is incorrect. Nasal inflammation is not typically a characteristic feature of nonallergic asthma. While nasal symptoms such as congestion, rhinorrhea (runny nose), and sneezing are common in allergic asthma due to the involvement of allergic rhinitis (hay fever), they are not typically prominent in nonallergic asthma. Nonallergic asthma primarily affects the lower airways (bronchi and bronchioles) rather than the upper airways (nose and throat). Therefore, nasal inflammation is not commonly associated with nonallergic asthma.

Choice C Reason:

No hypersensitivity to allergens is correct. Unlike allergic asthma, where exposure to allergens triggers asthma symptoms, individuals with nonallergic asthma do not have a hypersensitivity to allergens.

Choice D Reason:

Asthma flare-ups with NSAID administration is correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen can trigger asthma symptoms in some individuals with nonallergic asthma.

Choice E Reason:

Persistence of manifestations is correct. Nonallergic asthma tends to have persistent symptoms even in the absence of allergen exposure. Symptoms may occur regularly and may not have a clear seasonal pattern like allergic asthma.

Choice F Reason:

Positive response to corticosteroids is correct. Corticosteroids are often effective in managing nonallergic asthma. Individuals with this type of asthma typically respond well to corticosteroid treatment as part of their asthma management plan.

A. Paralytic lleus B. Blood pressure 80/48 mm Hg C. Weakness in one or both legs D. Potassium 3.2 mEq/L

Correct Answer is C

Explanation

Choice A Reason:

Paralytic ileus is incorrect. Paralytic ileus is a condition characterized by obstruction of the intestines due to paralysis of the intestinal muscles, resulting in symptoms such as abdominal pain, bloating, and constipation. Paralytic ileus is not typically associated with cauda equina syndrome, which primarily affects the nerves in the lower back and lower extremities.

Choice B Reason:

Blood pressure 80/48 mm Hg is incorrect. While cauda equina syndrome can cause neurological symptoms such as lower extremity weakness, numbness, and bowel or bladder dysfunction, it is not typically associated with alterations in blood pressure. Blood pressure changes may occur in response to pain or other systemic factors, but they are not specific to cauda equina syndrome.

Choice C Reason:

Weakness in one or both legs is correct. Yes, weakness in one or both legs is a characteristic finding of cauda equina syndrome. Compression of the nerve roots in the lower spinal cord can lead to motor deficits, including weakness, difficulty walking, and loss of reflexes in the lower extremities.

Choice D Reason:

Potassium 3.2 mEq/L is incorrect. Serum potassium levels are not typically associated with cauda equina syndrome. Abnormal potassium levels may be indicative of electrolyte imbalances, which can occur in various medical conditions but are not specific to cauda equina syndrome.

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A nurse is teaching a client who has a complete spinal cord injury about bowel and bladder management. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that appl (Select All that Apply.)

Correct Answer is ["A","C","D","E","F"]

Explanation

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Correct Answer is C

Explanation

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A nurse is teaching a client who has a complete spinal cord injury about bowel and bladder management. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
(Select All that Apply.)