A nurse is caring for a client who has paraplegia following an automobile accident. The client is on an intermittent urinary catheterization program. Which of the following findings indicates the need for catheterization?

Urge incontinence

Weight gain

Rectal distention

Dribbling of urine

Answer and Explanation

The Correct Answer is D

A. Urge incontinence may occur but is not necessarily an indicator for immediate catheterization in a paraplegic patient, as they may lack bladder control.

B. Weight gain is unrelated to the need for catheterization and may indicate other issues like fluid retention.

C. Rectal distention relates to bowel function, not bladder function, and does not indicate the need for catheterization.

D. Dribbling of urine can suggest bladder overfilling and is an indication that the bladder needs emptying through catheterization to prevent urinary retention complications.

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Correct Answer is ["A","C","D","E"]

Explanation

A. A weakened gag reflex is a possible complication due to impaired nerve function, increasing the risk of aspiration.

B. Polyuria is not typically associated with cervical spinal cord injuries.

C. Hypotension may occur due to neurogenic shock from impaired autonomic function following a cervical spinal cord injury.

D. Hyperthermia can develop if the injury affects thermoregulatory control.

E. Absence of bowel sounds may indicate paralytic ileus, a common complication in clients with spinal cord injuries.

A. Causes joint pain B. Crepitus can occur in affected joints C. Affects weight-bearing joints D. Affects bilateral symmetrical joints E. Causes joint stiffness

Correct Answer is ["A","B","C","E"]

Explanation

A. Osteoarthritis causes joint pain due to the deterioration of cartilage in the joints.

B. Crepitus, a grating sound, can occur in affected joints due to bone rubbing on bone.

C. Osteoarthritis primarily affects weight-bearing joints such as the hips, knees, and spine.

D. Osteoarthritis often affects joints asymmetrically rather than in a bilateral symmetrical pattern, which is more characteristic of rheumatoid arthritis.

E. Joint stiffness, particularly after periods of inactivity, is a common symptom of osteoarthritis.

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A nurse is caring for a client who has paraplegia following an automobile accident. The client is on an intermittent urinary catheterization program. Which of the following findings indicates the need for catheterization?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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