Nokea
The client has had recurrent episodes of low back pain. Which statement indicates that the client has incorporated positive lifestyle changes to decrease the incidence of future back problems?
- A. “I stoop and avoid bending and twisting when lifting objects.”
- B. “I can walk farther if I wear my old comfortable shoes.”
- C. “I can walk only on weekends but walk 5 miles each day.”
- D. “I sit for 2 to 3 hours with my legs elevated for pain control.”
Correct Answer: A
Rationale: Stooping and avoiding bending and twisting motions when lifting objects lessen the likelihood of injury. The client should wear supportive shoes. The client should include regular daily exercise as a program (not excessive walking over 2 days on the weekend). Clients should avoid prolonged sitting or standing.
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What should the nurse warn a client with multiple sclerosis to avoid?
- A. Hot weather
- B. Wet climates
- C. Your diet
- D. Cold temperatures
Correct Answer: A
Rationale: Hot weather can exacerbate MS symptoms by increasing body temperature, which impairs nerve conduction.
Which goal is most realistic for a client diagnosed with Parkinson's disease?
- A. To reverse the symptoms and cure the disease
- B. To remove the symptoms of the disease process
- C. To maintain optimal muscle and motor function
- D. To prepare for a progressive terminal disease
Correct Answer: C
Rationale: Maintaining optimal muscle and motor function is realistic, as Parkinson's is progressive but manageable with treatment.
Which discharge instruction is most important for a client with a herniated disk?
- A. Sleep on a soft mattress.
- B. Perform high-impact exercises.
- C. Maintain proper body mechanics.
- D. Take hot baths daily.
Correct Answer: C
Rationale: Proper body mechanics prevent re-injury and promote healing in clients with a herniated disk.
Which problem is the highest priority for the client diagnosed with West Nile virus?
- A. Alteration in body temperature.
- B. Altered tissue perfusion.
- C. Fluid volume excess.
- D. Altered skin integrity.
Correct Answer: A
Rationale: Fever (alteration in body temperature, A) is a primary symptom of West Nile virus, requiring priority management to prevent complications. Perfusion (B), fluid excess (C), and skin integrity (D) are less immediate.
When the nursing team discusses the client's plan of care, which has the highest priority?
- A. Teaching the client about prevention of skin breakdown
- B. Strengthening the client's upper body muscles
- C. Confronting the client's denial of the prognosis
- D. Letting the client verbalize about the accident
Correct Answer: A
Rationale: Preventing skin breakdown is the highest priority to avoid complications like pressure ulcers in clients with spinal cord injuries.