Nokea
You are preparing a nursing care plan for the patient with SCI including the nursing diagnoses Impaired Physical Mobility and Self-Care Deficit. The patient tells you, 'I don't know why we're doing all this. My life's over.' What additional nursing diagnosis takes priority based on this statement?
- A. Risk for Injury related to altered mobility
- B. Imbalanced Nutrition, Less Than Body Requirements
- C. Impaired Adjustment to Spinal Cord Injury
- D. Poor Body Image related to immobilization
Correct Answer: C
Rationale: This statement reflects a need for psychological support and adjustment to the injury.
You may also like to solve these questions
The patient who has right homonymous hemianopia and right hemiparesthesia would indicate his awareness of his safety self-promotion by
- A. keeping frequently used objects on his left side
- B. asking his visitors to approach him from his affected side
- C. frequently checking the position of the affected extremities in space
- D. adhering to one-handed activities
Correct Answer: A
Rationale: Placing objects on the unaffected side ensures visibility.
Which of the following organisms causes epidemic meningitis cases at college campuses?
- A. Haemophilus influenzae type b
- B. Neisseria meningitidis
- C. Streptococcus pneumoniae
- D. Listeria monocytogenes
Correct Answer: B
Rationale: The correct answer is B: Neisseria meningitidis. This bacterium is a common cause of epidemic meningitis in college campuses due to person-to-person transmission, especially in crowded living spaces. It has a polysaccharide capsule that helps evade the immune system, leading to severe infections. Haemophilus influenzae type b, Streptococcus pneumoniae, and Listeria monocytogenes can also cause meningitis but are not typically associated with college campus epidemics.
Mrs. Iris is complaining of pressure in the ischial area due to the Thomas half-ring. What nursing measure would be appropriate to relieve the pressure?
- A. Wash, dry and powder the skin well
- B. Increase the weight on the rope suspending the ring
- C. Elevate the foot of the entire bed
- D. Raise the head to semi-Fowler position
Correct Answer: C
Rationale: Elevating the foot of the bed can redistribute weight and relieve pressure.
During your visit Mrs. Aster complains of ringing in her ears. In questioning her, which of the following responses would indicate to you that she understands the possible cause?
- A. I have been eating a lot of fruits lately.
- B. I have been taking a vitamin supplement.
- C. I went to a loud jazz concert last night.
- D. I have been taking more aspirin lately.
Correct Answer: D
Rationale: Aspirin overdose can cause tinnitus (ringing in the ears).
Lobe that contains the primary motor area that enables voluntary control of skeletal muscle movements:
- A. parietal lobe
- B. temporal lobe
- C. occipital lobe
- D. frontal lobe
Correct Answer: D
Rationale: The frontal lobe contains the primary motor cortex, which is responsible for voluntary control of skeletal muscle movements. The parietal, temporal, and occipital lobes have different functions, and the diencephalon is not a lobe. Thus, D is the correct answer.