A nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take?
Allow the client to control the timing and frequency of the therapy.
Limit visiting hours until the client begins to participate in therapy
Establish a plan of care with the client that sets attainable goals.
Inform the client that privileges are related to participation in therapy.
The Correct Answer is C
Choice A Reason:
Allowing the client to control the timing and frequency of the therapy might seem beneficial, but it can lead to inconsistent participation and lack of progress. Structured therapy sessions are essential for rehabilitation, and while some flexibility is important, a completely client-controlled schedule may not provide the necessary consistency.
Choice B Reason:
Limiting visiting hours until the client begins to participate in therapy is not an effective approach. Social support from family and friends is crucial for the emotional well-being of the client and can actually motivate them to engage more in their rehabilitation efforts. Restricting visits could lead to increased feelings of isolation and resistance.
Choice C Reason:
Establishing a plan of care with the client that sets attainable goals is the most effective approach. Involving the client in their care plan fosters a sense of ownership and motivation. Setting realistic and achievable goals helps the client see progress, which can boost their confidence and willingness to participate in therapy.
Choice D Reason:
Informing the client that privileges are related to participation in therapy can be perceived as punitive and may not be effective in motivating the client. It is important to use positive reinforcement and encouragement rather than threats or restrictions to foster cooperation and engagement in the rehabilitation process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Blood pressure itself does not directly affect stroke volume. However, it can influence afterload, which in turn affects stroke volume. Blood pressure is the force exerted by circulating blood on the walls of blood vessels, and while it is related to cardiac function, it is not a direct determinant of stroke volume.
Choice B Reason:
Preload directly affects stroke volume. Preload refers to the degree of stretch of the cardiac muscle fibers at the end of diastole, just before contraction. It is influenced by the volume of blood returning to the heart (venous return). According to the Frank-Starling law, an increase in preload leads to an increase in stroke volume due to the enhanced force of contraction.
Choice C Reason:
Afterload also directly affects stroke volume. Afterload is the resistance the ventricles must overcome to eject blood during systole. It is influenced by factors such as arterial blood pressure and vascular resistance. An increase in afterload can decrease stroke volume because the heart has to work harder to pump blood against the higher resistance.
Choice D Reason:
Heart rate does not directly affect stroke volume. Instead, heart rate and stroke volume together determine cardiac output (CO = HR × SV). While heart rate can influence the overall amount of blood pumped by the heart per minute, it does not directly change the volume of blood ejected with each beat.
Correct Answer is ["30"]
Explanation
Step-by-Step Calculation:
Step 1: Convert 2 gm to mg.
2 gm × 1000 = 2000 mg
Step 2: Determine the concentration of Lidocaine in mg/mL.
2000 mg ÷ 500 mL = 4 mg/mL
Step 3: Calculate the infusion rate in mL/min.
2 mg/min ÷ 4 mg/mL = 0.5 mL/min
Step 4: Convert the infusion rate to mL/hr.
0.5 mL/min × 60 min/hr = 30 mL/hr
Result: The Lidocaine drip should be infused at 30 mL/hr.
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