A client has suffered a spinal cord injury while body surfing at the beach. The physician states that the client's injury has resulted in quadriplegia. Which of the following best describe the client's dysfunction or paralysis?
a. upper extremities only
b. upper/lower extremities, bowel, bladder
c. lower extremities only
d. lower extremities, bowel and bladder
B
Complete upper motor neuron injury results in quadriplegia (tetraplegia), or dysfunction or paralysis of both arms, both legs, bowel, and bladder.
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The nurse is reviewing new orders written for a client experiencing respiratory alkalosis. Which orders would be appropriate for this client's care needs?
Select all that apply. A) Oxygen 2 liters via face mask B) Restrict fluids to 2 liters per day. C) Admit to a private room. D) Infuse 1 ampule of sodium bicarbonate now. E) Draw arterial blood gases.
If an infant's airway becomes obstructed with a foreign body, the rescuer should place the infant with the head lower than the trunk. Which of the following actions should be taken NEXT?
a. Deliver five back blows between the shoulder blades. b. Give the infant five cardiac blows. c. Do a finger sweep of the mouth. d. Initiate oxygen therapy.
The family of an older patient with Alzheimer's disease does not want to discuss long-term care placement for at least "a few years." How should the nurse respond to the family?
1. "Long-term care placement is inevitable with this diagnosis." 2. "It often takes a year for an individual with Alzheimer's disease to be admitted." 3. "Talking about it now gives you time to think about locations and make a decision." 4. "By providing this information now, we will not need to address these concerns later."
A nurse notices that patients who ambulate within the first 12 hours of surgery have fewer postoperative complications. Which approach would provide validation for the nurse's belief that early ambulation reduces postoperative complications?
1. Correlation of postoperative complications with the patients' activity 2. Modification of the patients' activity based on the surgical severity 3. Discussion of postoperative complications with a physical therapist 4. Adjustment of the patients' medications related to their activity levels