A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

"I do wheelchair exercises while watching TV.".

"I carry a water bottle with me because I drink a lot of water.".

"I use a suppository every night to have a bowel movement.".

"I only need to catheterize myself twice every day.".

Answer and Explanation

The Correct Answer is D

Individuals with spina biﬁda who are paralyzed from the waist down may have difficulty emptying their bladder completely and may need to perform intermittent catheterization.
The frequency of catheterization can vary depending on the individual’s needs, but it is typically performed every 3-6 hours or 4-6 times per day.
Choice A, “I do wheelchair exercises while watching TV,” is a positive statement because exercise is important for overall health and well-being.
Choice B, “I carry a water bottle with me because I drink a lot of water,” is also a positive statement because staying hydrated is important for overall health.
Choice C, “I use a suppository every night to have a bowel movement,” is not necessarily an indication for further teaching because some individuals with spinal biﬁda may need to use bowel management techniques such as suppositories to help regulate bowel movements.

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Correct Answer is B

Explanation

This response is appropriate because it informs the parent that the nurse has a legal obligation to report any suspected child abuse.
Choice A is not an answer because it does not address the parent’s concern and instead defers responsibility to the provider.
Choice C is not an answer because it does not provide any information to the parent and instead suggests contacting a supervisor.
Choice D is not an answer because it implies that the decision to report the incident was made by the supervisor and not the nurse.

A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.". B. "Sleep apnea is the main cause of SIDS.". C. "Placing your child on her back when sleeping will decrease the risk of SIDS.". D. "SIDS rates have been rising over the last 10 years.".

Correct Answer is C

Explanation

The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines

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A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Correct Answer is C

Explanation

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