A client with a spinal cord injury (SCI) that has resulted in paraplegia has expressed doubts about "ever being able to give birth to children."
The nurse formulates the best response to the client's concern based on the understanding that: 1. Becoming a biological mother is usually possible regardless of an SCI.
2. Being sexually active will require a supportive partner.
3. Ability to function sexually will be determined by her ability to accept the physical limitations.
4. Conception is usually by artificial insemination.
Becoming a biological mother is usually possible regardless of an SCI.
Rationale: Patients will receive advice on maintaining an active lifestyle within the limitations of their injury. It is important that these patients understand that they can continue to be sexually active despite their injury. It is even possible for them to have children in the future if they so desire. While having a supportive sexual partner and acceptance of physical limitations will be factors in reestablishing sexual activity, they do not directly address the client's concerns. Most women with spinal cord injuries remain fertile and can conceive and bear children.
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A client with a BMI of 33 is experiencing increasing fatigue which is attributed to a sedentary job and lifestyle. Which question should the nurse ask when beginning to assess this client and current body weight?
a. "How do you feel about your current weight status?" b. "Do you have other family members who are obese?" c. "Do you think that being obese contributes to your fatigue?" d. "Have you noticed that you are more tired now that you have gained an extra 50 pounds?"
Comparing the adverse effects of the antiplatelet drug clopidogrel (Plavix) with those of aspirin, the nurse should draw which of the following conclusions?
a. Clopidogrel causes less GI bleeding than aspirin. b. Rash commonly occurs with aspirin but not with clopidogrel. c. Clopidogrel poses a greater risk of intracranial hemorrhage than aspirin does. d. Clopidogrel carries an higher risk for neutropenia and granulocytopenia than does aspirin.
Shock is:
a. When the heart and breathing stop without warning b. The sudden loss of consciousness from an inadequate blood supply to the brain c. The excessive loss of blood in a short time d. A condition that results when organs and tissues do not get enough blood.
The culture and sensitivity testing of a patient's wound exudate indicates that a specific antibiotic is necessary for treatment. The United States Pharmacopeia–National Formulary indicates that the drug in question is 96% protein bound. What are the implications of this fact?
A) Dosages of the drug must be large in order to be effective.
B) The patient must maintain a high-protein diet for the duration of treatment.
C) Nearly all of each dose of the drug is free and active.
D) Absorption and excretion of the drug will occur rapidly.