A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

"Respite care provides holistic support and care for a client who is terminally ill."

"Respite care is a continuation of psychological support after a family member dies."

"Respite care helps relieve pain and promote comfort

"Respite care allows the primary caregiver time away from day-to-day care responsibilities."

Answer and Explanation

The Correct Answer is D

A.   While respite care can be part of end-of-life care, it is not limited to terminally ill clients. Respite care is designed to provide temporary relief to caregivers for individuals with various chronic conditions, including disabilities like quadriplegia.
B.   Respite care is not specifically related to psychological support after a death. Instead, it is intended to give caregivers a break from their caregiving responsibilities, regardless of the patient's prognosis. Thus, this response does not effectively describe the function of respite care.
C.   While respite care can involve pain management and comfort measures, this statement does not fully capture the primary purpose of respite care, which is to provide temporary relief for caregivers. It may address some aspects of patient care, but it doesn't highlight the caregiver's need for a break.
D.   Respite care is specifically designed to provide primary caregivers with relief from the daily responsibilities of caregiving. It allows them time to rest, attend to personal needs, or manage other responsibilities, which can help prevent caregiver burnout and improve overall well-being for both the caregiver and the client.

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Correct Answer is B

Explanation

A. While the ability to feel sensations may be affected depending on the level and completeness of the spinal cord injury, many individuals with spinal cord injuries can still experience arousal through touch, especially in areas above the injury level.
B. This statement is appropriate and encouraging. It promotes self-exploration and helps the client understand that their body can still respond in ways that may lead to enjoyment. It acknowledges the importance of finding what feels pleasurable, which can enhance sexual health and intimacy after an injury.
C. While promoting a positive self-image is important, this statement may come off as dismissive of the client’s feelings. While the intention is to support the client's self-esteem, it’s more important to acknowledge that feelings of desirability can be complex after an injury, and it’s okay to have mixed emotions about body image.
D. This statement is misleading and harmful. Many individuals with spinal cord injuries can and do engage in intimate relationships. While there may be challenges, such relationships are entirely possible and can be fulfilling.

A. Complete a neurological check on the client. B. Place the client in a rigid cervical collar. C. Open the client's airway using the jaw-thrust maneuver. D. Evaluate the client for other injuries.

Correct Answer is C

Explanation

A. While neurological assessments are important in understanding the extent of injury, they are not the immediate priority when a client is not breathing. The focus should be on ensuring airway patency and resuscitation.
B. Stabilizing the cervical spine is essential if there is a suspected fracture. However, if the client is not breathing, securing the airway is the most urgent need. Placing a collar can come after addressing the airway.
C. The jaw-thrust maneuver is specifically designed to open the airway without flexing the neck, which is crucial in suspected cervical spine injuries. Ensuring that the airway is open is the top priority for an unresponsive client who is not breathing.
D. While evaluating for other injuries is necessary in the context of a motor vehicle accident, this should occur after securing the airway. The primary concern is to address the life-threatening issue of the client not breathing.

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A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a spinal cord injury about sexual stimulation. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is B

Explanation

A nurse witnesses a motor vehicle crash and finds a client who is not breathing. The nurse suspects the client has a cervical vertebrae fracture. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?

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A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, "Go away; no one can help me." Which of the following responses should the nurse make?

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)

A home health nurse is caring for a client who is quadriplegic following a spinal cord injury and who is adjusting to the home environment. Which of the following client statements indicate the client is adapting?

A nurse is caring for a client who is being tested for chronic myelogenous leukemia (CML). Which of the following diagnostic tests should the nurse anticipate being prescribed?(Select All that Apply.)