An 18-year-old male has suffered a C5 spinal cord injury which has resulted in tetraplegia. His mother is crying in the waiting room 2 days after the injury has occurred. When the nurses sit down to talk to her, she asks whether her son will ever play football again. Which of the following responses would be best?
Reflect on how she's feeling, and encourage her to express other fears that she has about his injury.
Explain that you aren't sure, but you will ask the physician to talk to her right away.
Advise her that it isn't in his best interest for her to be so upset, and explain the importance of moral support
Reassure her that given time and motivation he will return to normal function.
The Correct Answer is A
A. Reflect on how she's feeling, and encourage her to express other fears that she has about his injury – Acknowledging emotions and encouraging open expression helps the mother process her grief and begin adjusting to the reality of the injury.
B. Explain that you aren't sure, but you will ask the physician to talk to her right away – Deferring to the physician misses an opportunity for emotional support.
C. Advise her that it isn’t in his best interest for her to be so upset, and explain the importance of moral support – This dismisses her emotions rather than addressing them.
D. Reassure her that given time and motivation he will return to normal function – Providing false reassurance is inappropriate, as a C5 spinal cord injury results in permanent loss of function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Regular insulin (short-acting) and Humulin N (intermediate-acting) can be mixed.
B. Incorrect. Regular insulin and Novolin N are compatible.
C. Correct. Lantus (glargine) is a long-acting insulin that should never be mixed with other insulins.
D. Incorrect. Humulin R (short-acting) and Novolin N (intermediate-acting) can be mixed.
Correct Answer is A
Explanation
A. Administer antibiotics when available. – Correct Answer. Bacterial meningitis is a medical emergency. The priority is to start IV antibiotics as soon as possible to prevent complications such as sepsis, increased ICP, and neurological damage.
B. Reduce environmental stimuli. – Incorrect. While reducing stimuli helps with photophobia and headache, it is not the priority over immediate antibiotic therapy.
C. Document intake and output. – Incorrect. Monitoring fluid balance is important, but it does not directly treat the infection.
D. Maintain seizure precautions. – Incorrect. Seizure precautions are necessary, but rapid antibiotic administration takes precedence.
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