A nurse is caring for a client receiving rehabilitation for paralysis following a spinal cord injury and diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?

Limited fluid intake to prevent incontinence.

Administration of antispasmodic medication.

Kegel exercises to strengthen the pelvic floor.

Regular perineal care to prevent skin breakdown.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Limiting fluid intake to prevent incontinence is not recommended as it can lead to dehydration and other complications. Proper hydration is essential for overall health, and other strategies should be used to manage incontinence.

Choice B reason:

Administration of antispasmodic medication can help manage bladder spasms and incontinence, but it is not the highest priority intervention. While medication can be part of the treatment plan, preventing skin breakdown is more critical in the immediate care of a client with reflex incontinence.

Choice C reason:

Kegel exercises to strengthen the pelvic floor can be beneficial for managing incontinence, but they may not be effective for clients with paralysis following a spinal cord injury. These exercises require voluntary muscle control, which may be impaired in such clients.

Choice D reason:

Regular perineal care to prevent skin breakdown is the highest priority intervention for a client with reflex incontinence. Incontinence can lead to skin irritation, breakdown, and infection if not managed properly. Ensuring good perineal hygiene helps prevent these complications and promotes overall skin health.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason:

Organizing an influenza immunization campaign is an example of primary prevention, which aims to prevent the onset of illness or injury before it occurs. Secondary prevention focuses on early detection and intervention to prevent the progression of disease or injury.

Choice B reason:

Helping plant workers identify signs of carpal tunnel syndrome is a secondary prevention strategy. It involves early detection of symptoms and providing education on how to manage and seek treatment for the condition. Early intervention can prevent the progression of carpal tunnel syndrome and reduce the risk of long-term complications.

Choice C reason:

Teaching plant workers about proper lifting techniques is an example of primary prevention. It aims to prevent injuries by educating workers on safe practices. While important, it does not fall under secondary prevention, which focuses on early detection and intervention.

Choice D reason:

Collaborating with a physical therapist to develop programs for injured employees to return to work is an example of tertiary prevention. Tertiary prevention focuses on rehabilitation and managing long-term health conditions to improve quality of life and prevent further complications.

A. Analgesics B. Antibiotics C. Anticonvulsants D. Antihistamines

Correct Answer is C

Explanation

Choice A reason:

Analgesics, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may provide some relief for mild pain but are generally not effective for the severe, neuropathic pain associated with Trigeminal neuralgia. This condition requires medications that specifically target nerve pain.

Choice B reason:

Antibiotics are used to treat bacterial infections and are not effective for treating neuropathic pain conditions like Trigeminal neuralgia. This type of pain is not caused by an infection, so antibiotics would not be appropriate.

Choice C reason:

Anticonvulsants, such as carbamazepine and gabapentin, are the most effective medications for treating Trigeminal neuralgia. These drugs help stabilize nerve activity and reduce the frequency and intensity of pain episodes. They are considered the first-line treatment for this condition.

Choice D reason:

Antihistamines are used to treat allergic reactions and are not effective for neuropathic pain. They do not have the properties needed to manage the severe pain associated with Trigeminal neuralgia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client receiving rehabilitation for paralysis following a spinal cord injury and diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?

Correct Answer is B

Explanation

A nurse is caring for a client diagnosed with Trigeminal neuralgia who is suddenly experiencing severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this type of pain?

Correct Answer is C

Explanation

A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?

A nurse is teaching a client who has a new prescription for Sumatriptan (Imitrex) tablets to treat migraine headaches. Which of the following instructions should the nurse include?

A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client’s energy without compromising physical or mental health?

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?

Which of the following statements indicate the importance of epidemiology to the community health nurse? SELECT ALL THAT APPLY.

A community health nurse is teaching a group of nursing students about descriptive analytics. The nurse recognizes that which of the following best describes the purpose of descriptive analytics in nursing?

A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure (ICP)?

A nurse is caring for a client who has experienced a hemorrhagic stroke. Which intervention should the nurse prioritize when providing care to the client?