A nurse is teaching a client who has a spinal cord injury about prevention of atelectasis. Which of the following statements should the nurse include in the teaching?

"Do panting breaths several times a day."

"Perform deep coughing twice a day."

"Strengthen your chest muscles by performing therapy exercises."

"Get plenty of rest throughout the day."

Answer and Explanation

The Correct Answer is B

Choice A Reason:

"Do panting breaths several times a day." This statement is inappropriate. Panting breaths involve rapid, shallow breathing similar to what a dog does when it's hot. This technique may not be as effective in clearing mucus or promoting lung expansion compared to deep coughing. While panting breaths may have some benefits in promoting ventilation and increasing lung volume, they may not be as targeted or efficient in preventing atelectasis as other techniques such as deep coughing

Choice B Reason:

"Perform deep coughing twice a day." This statement is correct. Deep coughing helps clear mucus and secretions from the airways, reducing the risk of blockages that can lead to atelectasis. It promotes airway clearance and lung expansion, maintaining respiratory function. Regular deep coughing is particularly important for individuals with spinal cord injuries, as they may have impaired cough reflexes or weakened respiratory muscles, increasing their vulnerability to atelectasis.

Choice C Reason:

"Strengthen your chest muscles by performing therapy exercises." This statement is incorrect. While strengthening chest muscles through therapy exercises can be beneficial for overall respiratory health, it may not directly target the prevention of atelectasis. Atelectasis is primarily caused by the collapse of lung tissue due to mucus buildup or reduced lung expansion, rather than weakness of chest muscles. While therapy exercises may have other benefits such as improving respiratory function and endurance, they may not be the most effective strategy for preventing atelectasis in individuals with spinal cord injuries.

Choice D Reason:

"Get plenty of rest throughout the day." This statement is incorrect. Rest is important for overall health and well-being, but it may not directly contribute to the prevention of atelectasis. Inactivity and prolonged bed rest can actually increase the risk of atelectasis by reducing lung expansion and promoting mucus accumulation in the airways. While adequate rest is necessary for recovery and energy conservation, it should be balanced with activities that promote lung expansion and airway clearance, such as deep breathing exercises and mobility.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A Reason:

Light sensitivity is incorrect. Light sensitivity (photophobia) is not typically a direct manifestation of a ruptured cerebral aneurysm. However, it may occur as a secondary symptom due to other neurological disturbances or increased intracranial pressure.

Choice B Reason:

Loss of consciousness is correct. Loss of consciousness is a common manifestation of a ruptured cerebral aneurysm, particularly if the bleeding leads to significant brain injury or compression of vital brain structures.

Choice C Reason:

A dilated pupil is correct. A dilated pupil (mydriasis) may occur as a result of compression of the oculomotor nerve (cranial nerve III) by the expanding hematoma or increased intracranial pressure following a ruptured cerebral aneurysm.

Choice D Reason:

Visual disturbances is correct. Visual disturbances, such as blurred vision, double vision (diplopia), or loss of vision, may occur due to compression of the optic nerve or damage to visual pathways as a result of the hemorrhage.

Choice E Reason:

Nausea and vomiting is correct. Nausea and vomiting are common symptoms associated with a ruptured cerebral aneurysm, often due to irritation of the meninges and increased intracranial pressure resulting from the bleeding.

Choice F Reason:

Numbness on one side of the face is incorrect. Numbness on one side of the face is not typically a direct manifestation of a ruptured cerebral aneurysm. However, it may occur if the hemorrhage affects specific regions of the brain responsible for sensation or if there is associated compression of cranial nerves.

A. The client has no sensation or movement below the level of the injury. B. The client has some movement but no sensation below the level of the injury. C. The client has some movement and also some sensation below the level of the injury. D. The client has some sensation but no movement below the level of the Injury.

Correct Answer is A

Explanation

Choice A Reason:

The client has no sensation or movement below the level of the injury is correct. This is a characteristic finding of a complete spinal cord injury, where there is total loss of sensory and motor function below the level of the injury. This pattern is often seen in injuries involving the cervical spinal cord, such as at the level of C7.

Choice B Reason:

The client has some movement but no sensation below the level of the injury is incorrect. This finding would be more indicative of an incomplete spinal cord injury, where there is partial preservation of sensory or motor function below the level of the injury. However, with a transection of the spinal cord at C7, it is less likely for the client to have retained movement below the level of injury.

Choice C Reason:

The client has some movement and also some sensation below the level of the injury is incorrect. This finding is not typically associated with a spinal cord injury at the level of C7. With a transection of the spinal cord at this level, there is typically complete loss of sensory and motor function below the level of the injury.

Choice D Reason:

The client has some sensation but no movement below the level of the injury is incorrect. This finding is more consistent with an incomplete spinal cord injury, where there may be partial preservation of sensory function but no motor function below the level of the injury. However, with a transection of the spinal cord at C7, it is less likely for the client to have retained sensation below the level of injury.

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A nurse is teaching a client who has a spinal cord injury about prevention of atelectasis. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a cerebral aneurysm. In the event of a ruptured cerebral aneurysm, which of the following manifestations would be present in the client? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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 A

Explanation

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