A nurse caring for a paralyzed patient who has been diagnosed with reflex incontinence should include which of the following preventative measures in the teaching plan with this patient?
A) Regular perineal care to prevent skin breakdown
B) Kegel exercises to strengthen the pelvic floor
C) Small frequent meals
D) Limited fluid intake to prevent incontinence
Ans: A
Feedback: Reflex incontinence is associated with a spinal cord lesion that interrupts cerebral
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The nurse is assessing a patient being admitted for anemia. The nurse sees no overt signs of bleeding. The nurse understands that:
a. all patients with bleeding disorders demonstrate active bleeding. b. many patients have bleeding that is not obvious. c. mucous membranes have a high threshold for bleeding. d. capillaries in mucous membranes lie deep in the membrane.
A client who had a wrist cast applied 3 days ago calls from home, reporting that the cast is loose enough to slide off. How does the nurse respond?
a. "Keep your arm above the level of your heart." b. "As your muscles atrophy, the cast is ex-pected to loosen." c. "Wrap an elastic bandage around the cast to prevent it from slipping." d. "You need a new cast now that the swel-ling is decreased."
The client has cancer. He asks the nurse where cancer comes from. What is the best explanation by the nurse?
1. "Cancer is genetic; you inherited the predisposition for your cancer." 2. "Cancer cells are your body's cells that have lost the ability to control their growth." 3. "Cancer is caused primarily by viruses in the environment." 4. "Cigarette smoking and second-hand smoke are the primary causes of cancer."
The "harm reduction" model is an approach that focuses on
1. Education 2. Law enforcement 3. Scare tactics 4. Rehabilitation