I client with a spinal cord injury reports hot, burning, tingling, pain that shoots down his extremities. When the client asks why this occurs, what is the nurse's best response?
We need to reposition you.
This is caused by a continual inflammatory process.
This is related to nerve damage in the spinal cord
This will go away in 2 weeks
The Correct Answer is C
Choice A Rationale: Repositioning may be important for preventing complications, but it does not explain the pain described by the client.
Choice B Rationale: A continual inflammatory process is not typically the cause of the pain described by the client with a spinal cord injury.
Choice C Rationale: Nerve damage in the spinal cord is a common cause of neuropathic pain with these characteristics.
Choice D Rationale: Telling the client that the pain will go away in 2 weeks without further assessment or explanation is not accurate and may raise unrealistic expectations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A Rationale: Understanding the expected physiological changes of Alzheimer's disease can help the caregiver better cope with the client's behaviors and needs.
Choice B Rationale: Teaching actions to reduce stress is important for both the caregiver and the client, as stress can exacerbate behavioral symptoms in Alzheimer's disease.
Choice C Rationale: Referring to available community resources can provide valuable support and assistance to both the caregiver and the client.
Choice D Rationale: Identifying a social support system is essential for the caregiver to have emotional and practical support while caring for a client with Alzheimer's disease.
Choice E Rationale: While medication administration is important, it may not be the primary focus of coping strategies for the caregiver.
Correct Answer is A
Explanation
Choice A Rationale: Keeping window blinds open during the day is a non pharmacological approach to help regulate the patient's circadian rhythm and may reduce the severity of sundowning, a common phenomenon in dementia.
Choice B Rationale: Having the patient take a mid-morning nap may disrupt the patient's sleep-wake cycle and worsen sundowning.
Choice C Rationale: Providing hourly orientation to time and place may be overwhelming for the patient and not necessarily effective in addressing sundowning.
Choice D Rationale: Moving the patient to a quiet room in the afternoon may not address the underlying issue of sundowning and may not be practical in a long-term care setting.
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