Which of the following manifestations can the nurse expect in a client with upper motor neuron deficit related to a spinal cord injury?

A leakage

B anuria

C flaccid bladder, inability to voluntarily void

D spastic, involuntary voiding

Answer and Explanation

The Correct Answer is D

Choice A Rationale: Leakage is not typically associated with upper motor neuron deficits related to a spinal cord injury.

Choice B Rationale: Anuria (absence of urine production) is not a common manifestation of upper motor neuron deficits in this context.

Choice C Rationale: A flaccid bladder and an inability to voluntarily void are more characteristic of lower motor neuron deficits. Upper motor neuron deficits often lead to spasticity and involuntary voiding.

Choice D Rationale: Spasticity and involuntary voiding are common manifestations of upper motor neuron deficits related to spinal cord injury. This is due to the loss of inhibitory control over reflexes, including the micturition reflex.

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Correct Answer is D

Explanation

Choice A Rationale: Fecal incontinence is not typically associated with mild Alzheimer's disease but may occur in later stages.

Choice B Rationale: Urinary incontinence can occur in Alzheimer's disease, but it is not specific to the mild stage.

Choice C Rationale: Inability to smile is not a typical manifestation of Alzheimer's disease but may be related to facial muscle weakness or other factors.

Choice D Rationale: Being able to drive to familiar places is consistent with the early stage of Alzheimer's disease, where clients may still have some independence and ability to perform routine tasks.

A. The disorder causes enlargement of parotid and salivary glands B. It is caused by obstructed blood flow to the brain C. The client has a deficiency of thiamine and pyridoxine in the central nervous system D. Cranial nerves responsible for the swallow and the gag reflex have been affected by demyelination caused by the disorder

Correct Answer is D

Explanation

Choice A Rationale: Guillain-Barre syndrome does not typically cause enlargement of parotid and salivary glands, leading to drooling.

Choice B Rationale: Obstructed blood flow to the brain is not the primary cause of the described symptoms in Guillain-Barre syndrome.

Choice C Rationale: Deficiency of thiamine and pyridoxine in the central nervous system is not a characteristic feature of Guillain-Barre syndrome.

Choice D Rationale: In Guillain-Barre syndrome, demyelination affects cranial nerves responsible for swallowing and the gag reflex, leading to difficulties in swallowing secretions and drooling.

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Which of the following manifestations can the nurse expect in a client with upper motor neuron deficit related to a spinal cord injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for the client with Alzheimer's documents that the client is in the early stage of Alzheimer's. Which findings are consistent with mild Alzheimer's disease?

Correct Answer is D

Explanation

The client recently diagnosed with Guillain-Barre' syndrome is drooling and having difficulty swallowing secretions. When asked why this is happening, which of the following is the best answer for the nurse to give to the family?

Correct Answer is D

Explanation

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