When caring for the client hospitalized with tetanus, which of the following will the nurse include in the care plan?

Educate about the importance of proper food handling

Offer food at least 4 times a day

Anticipate administration of opioids

Provide distraction activities

Answer and Explanation

The Correct Answer is C

Choice A Rationale: Educating about the importance of proper food handling is important for preventing foodborne illnesses but is not specific to the care of a client with tetanus.

Choice B Rationale: Offering food at least 4 times a day may be necessary for maintaining nutritional support, but it does not address the specific care needs of a client with tetanus.

Choice C Rationale: Anticipating administration of opioids is an important component of the care plan for tetanus. Opioids can help manage muscle spasms and severe pain associated with tetanus.

Choice D Rationale: Providing distraction activities may be beneficial for clients with tetanus to help divert their attention from muscle spasms and discomfort, but it is not the primary intervention.

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Correct Answer is A

Explanation

Choice A Rationale: The purpose of a halo fixation device is to immobilize the cervical spine and prevent movement, which is crucial for healing and preventing further spinal cord injury.

Choice B Rationale: A halo fixation device does not allow for neck movement during the healing process.

Choice C Rationale: Applying talcum powder under the vest may increase the risk of skin irritation or infection.

Choice D Rationale: Turning the screws on the device should only be done by qualified healthcare professionals, not by the family.

A. A "It's a local reaction to nasal stuffiness." B. B "It's due to a hypoglycemic effect on the cranial nerve." C. C "Release of catecholamines with infection or stress leads to the pain." D. D "Pain is due to stimulation of the affected nerve by pressure and temperature.

Correct Answer is D

Explanation

Choice A Rationale: Linking the pain to nasal stuffiness is not an accurate explanation of trigeminal neuralgia.

Choice B Rationale: Hypoglycemia is not typically related to trigeminal neuralgia.

Choice C Rationale: Releasing catecholamines with infection or stress is not the primary cause of trigeminal neuralgia.

Choice D Rationale: Pain is often due to stimulation of the affected nerve by pressure and temperature. This is a more accurate and relevant explanation for trigeminal neuralgia.

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When caring for the client hospitalized with tetanus, which of the following will the nurse include in the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

The nurse is caring for a client diagnosed with trigeminal neuralgia. The client asks the nurse, "Why do I have so much pain?" Which of the following responses by the nurse is most appropriate?

Correct Answer is D

Explanation

When planning care for a client hospitalized with Guillain-Barre Syndrome, which of the following will the nurse report to the physician?

When educating a client about tetanus, which of the following will the nurse include in teaching? Select All that Apply

A client has sustained a T4-T5 injury and the nurse suspects he is in neurogenic shock. Which of the following manifestations are consistent with neurogenic shock? Select All that Apply

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?

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?

After assessing a client with deficits from a spinal cord injury, the nurse identifies the client's 02 saturation is 92%. Which of the following is the best first action by the nurse?

When planning care for a client with a C3 spinal cord injury, which of the following will the nurse identify as the priority ongoing assessment?

A nurse is teaching the family of an older adult client who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching?