The nurse is working in the rehabilitative setting caring for tetraplegia and paraplegia clients. When instructing family members on the difference between the sites of impairment, which location differentiates the two disorders?

A) The second cervical vertebrae
B) The first thoracic vertebrae
C) The seventh thoracic vertebrae
D) The first lumbar vertebrae


B
Feedback:
Tetraplegia is the impairment of all extremities and the trunk when there is a spinal injury at or above the first thoracic vertebrae. Paraplegia is the impairment of all extremities below the first thoracic vertebrae.

Nursing

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The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needs additional education?

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On your curriculum vitae, which of the following is the recommended approach for listing employment and educational history information?

a. 1979 RN Diploma1985 BScN2002 MN b. 2002 Mount Rush Health Center Staff Nurse1997 Cedar Falls Clinic Staff Nurse2007 Kilkarney Rehab Center Case Manager c. 2007 MN 2005 BScN d. 1997 Sturgeon County Hospital Head Nurse 2002 Sturgeon County Supervisor 2007 Sturgeon County Director

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What should be the end result of implementation of a new wireless information system in a 712-bed acute-care facility?

1. Retention of staff is enhanced 2. Staff can utilize the new technology effectively 3. Client satisfaction with care is enhanced 4. Client care outcomes are improved

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A client had a seminoma removed via an open procedure. The following day, the client's abdomen is soft and nontender, but no bowel sounds are present. Which action by the nurse is most appropriate?

a. Encourage the client to ambulate several times a day. b. Reassess the client's abdomen in 4 hours. c. Document the finding and call the surgeon immediately. d. Give the client a laxative and encourage high-fiber food.

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