. A nurse is caring for a patient who has just sustained a spinal cord injury. The nurse recognizes that the most common cause of this type of injury is which of the following?
A) Sports-related injuries
B) Acts of violence
C) Injuries due to a fall
D) Motor vehicle accidents
Ans: D
Feedback: Motor vehicle accidents account for approximately 35% of spinal cord injuries. Falls, sports-related injuries, and acts of violence account for 22%, 8%, and 24%, respectively.
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The nurse is caring for an older adult client diagnosed with chronic kidney disease. The client reports no bowel movement in the past 2 days
Based on this data, which condition is the client at an increased risk for developing? A) Metabolic acidosis B) Hypercalcemia C) Increased serum creatinine levels D) Hyperkalemia
A nurse is teaching a group of pregnant clients regarding seizures associated with eclampsia. The nurse will include which statement?
A) "The tonic phase of a grand mal seizure is evidenced by alternate contraction and relaxation of the muscles." B) "The clonic phase of a grand mal seizure is evidenced by muscular contraction and rigidity." C) "Seizures are rare in eclampsia, but they occur sometimes." D) "Seizures do not occur in preeclampsia."
A client who had outpatient surgery is given an instruction sheet in preparation for discharge
When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect? A) The client may be unable to read the instructions. B) The client already knows the information. C) The client does not want the written information. D) The client is ready to learn.
The nursing assistant uses her senses to make observations
Indicate whether the statement is true or false