After performing an assessment on a client with a spinal cord injury, which intervention will the nurse employ to prevent cardiovascular complications?

A Sit the client at a 90 degree angle

B Administer 2000 liters of fluid

C Apply compression socks

D Maintain blood pressure exactly at 110/80

Answer and Explanation

The Correct Answer is A

Choice A Rationale: Sitting the client at a 90-degree angle (upright position) helps prevent orthostatic hypotension and cardiovascular complications in clients with spinal cord injuries by improving venous return and cardiac output.

Choice B Rationale: Administering 2000 liters of fluid is an inappropriate intervention, and the volume mentioned is excessive.

Choice C Rationale: Applying compression socks may help prevent deep vein thrombosis (DVT) but does not address cardiovascular complications related to sitting position.

Choice D Rationale: Maintaining blood pressure exactly at 110/80 is not a feasible or appropriate intervention.

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Correct Answer is D

Explanation

Choice A Rationale: Stage 3 of Alzheimer's disease is characterized by increased memory deficits, but the behavior of filling in information with made-up stories is more commonly associated with the earlier stages.

Choice B Rationale: Stage 2 of Alzheimer's disease involves progressive cognitive decline but may not necessarily manifest with the specific behavior described.

Choice C Rationale: Stage 1 of Alzheimer's disease typically has mild cognitive changes, but the behavior mentioned is more indicative of the later stages.

Choice D Rationale: The early stage of Alzheimer's disease may involve the emergence of confabulation, where clients fill in gaps in memory with fabricated stories or information.

A. Check the patient's orientation to time and date. B. Obtain a list of the patient's prescribed medications. C. Determine the patient's ability to recognize a common object. D. Ask the patient to draw a clock with a specific time

Correct Answer is D

Explanation

Choice A Rationale: Checking the patient's orientation to time and date is a part of assessing cognitive function but is not specific to the Mini-Cog exam.

Choice B Rationale: Obtaining a list of the patient's prescribed medications is important for the overall assessment but is not specific to the Mini-Cog exam.

Choice C Rationale: Determining the patient's ability to recognize a common object is not a component of the Mini-Cog exam.

Choice D Rationale: Asking the patient to draw a clock with a specific time is a key component of the Mini-Cog exam, which assesses cognitive impairment and is commonly used to screen for Alzheimer's disease.

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After performing an assessment on a client with a spinal cord injury, which intervention will the nurse employ to prevent cardiovascular complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a client interview, the nurse notices that the client often fills in information with made-up stories. Which stage of Alzheimer's disease will the nurse see this behavior?

Correct Answer is D

Explanation

When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?

Correct Answer is D

Explanation

After receiving change-of-shift report for clients on the memory unit, which patient will the nurse see first?

A client arrives with respiratory muscle weakness, difficulty swallowing and abdominal pain. Which of the following reported by the client's husband is relevant to the client's manifestations?

When reviewing the health history of a client, which of the following finding is consistent with a diagnosis of Bell's Palsy?

A client who suffered partial paralysis is repositioned by the nurse every 2 hours. After placing the client in a side-lying position, what action will nurse take to prevent complications?

When asked to explain the common symptoms of Bell's Palsy, the nurse correctly identifies which of the following as manifestations of this disorder?

A home health nurse is reinforcing coping strategies with the family caregiver of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is preparing a care plan for a client with a spinal cord injury. Which of the following is the highest priority for the nurse to implement?

When classifying spinal cord injuries, which of the following does the nurse understand is an example of the level of injury?