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 Urinary output

B Blood Pressure

C Counting respirations

D Bowel sounds

Answer and Explanation

The Correct Answer is C

Choice A Rationale: Urinary output is also an important assessment in clients with a C3 spinal cord injury because it helps monitor for urinary retention and potential complications but it is not a priority compared to assessing the respiratory function of this client.

Choice B Rationale: Blood pressure is important to monitor but may not be the top priority assessment in this context.

Choice C Rationale: The nurse should prioritize counting respirations for a client with a C3 spinal cord injury, as this level of injury affects the phrenic nerve that innervates the diaphragm. The client may have difficulty breathing and require mechanical ventilation.

Choice D Rationale: Bowel sounds are important but may not be the priority assessment in this case.

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Correct Answer is A

Explanation

Choice A Rationale: Lentils have one of the highest fiber contents per cup compared to the other options listed, making them a good choice to help alleviate constipation.

Choice B Rationale: Asparagus is a source of fiber but typically has lower fiber content per cup compared to lentils.

Choice CRationale: Oatmeal is known for its fiber content, but its fiber content per cup is typically lower than that of lentils.

Choice DRationale: Cabbage is a source of fiber, but its fiber content per cup is usually lower than that of lentils.

A. Hemiplegia B. Quadriplegia C. Paresthesia D. Paraplegia

Correct Answer is D

Explanation

Choice A Rationale: Hemiplegia involves paralysis of one side of the body and is typically associated with brain injuries or lesions, not spinal cord injuries.

Choice B Rationale: Quadriplegia involves paralysis of all four limbs and is more commonly associated with higher spinal cord injuries, not T2-T3.

Choice C Rationale: Paresthesia refers to abnormal sensations, such as tingling or numbness, and may be present in various spinal cord injuries, but it is not a type of disability.

Choice D Rationale: Paraplegia involves paralysis of the lower extremities and trunk, and it is commonly associated with spinal cord injuries at the T2-T3 level.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?

Correct Answer is A

Explanation

A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?

Correct Answer is D

Explanation

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