The nurse is assessing a patient's musculoskeletal system after a swimming accident and notes that the patient can move both arms but is unable to move their legs. The nurse should document this finding as which of the following?

Hemiparesis

Hypertonicity

Crepitation

Paraplegia

Answer and Explanation

The Correct Answer is D

A. Hemiparesis: Hemiparesis refers to weakness on one side of the body, which does not fully describe the inability to move only the legs.

B. Hypertonicity: Hypertonicity refers to increased muscle tone or stiffness, not the inability to move legs.

C. Crepitation: Crepitation refers to a crackling or popping sound in the joints, not the inability to move legs.

D. Paraplegia: Paraplegia refers to the paralysis of the lower half of the body, including the legs, which fits the description of the patient’s condition.

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Correct Answer is B

Explanation

A. Verify the client's code status: Although verifying code status is important, it may delay necessary emergency interventions. In an urgent situation where the code status is unknown, immediate action is required.

B. Begin cardiopulmonary resuscitation (CPR). When a client is pulseless and the code status is unknown, the priority is to start CPR while emergency services are called. This ensures that the client receives potentially life-saving care promptly.

C. Provide comfort measures until family arrives. This is not appropriate if the client is pulseless and immediate resuscitation efforts are needed.

D. Initiate a slow code response. A slow code is not appropriate in an emergency situation where the patient requires immediate resuscitation.

A. “your children they cannot take away your driving privileges." B. "Driving is hard for older people, now you will have more time to try a new hobby." C. “This change can be difficult, let's explore alternative transportation methods" D. “Losing your privileges is awful, now you have to wait for someone else to drive you around."

Correct Answer is C

Explanation

A. “Your children, they cannot take away your driving privileges." This response is dismissive and does not address the safety concerns or explore alternative solutions. It may also ignore legal and practical considerations.

B. "Driving is hard for older people; now you will have more time to try a new hobby." This response does not directly address the individual's concerns and may come across as insensitive. It also does not explore practical alternatives for transportation.

C. "This change can be difficult; let's explore alternative transportation methods." This is the most appropriate response as it acknowledges the difficulty of the situation while offering practical support by exploring alternative transportation options.

D. “Losing your privileges is awful; now you have to wait for someone else to drive you around." This response is negative and does not provide constructive support. It may increase feelings of frustration or helplessness rather than addressing the issue constructively.

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The nurse is assessing a patient's musculoskeletal system after a swimming accident and notes that the patient can move both arms but is unable to move their legs. The nurse should document this finding as which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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