A nurse is preparing a care plan for a client with a spinal cord injury. Which of the following is the highest priority for the nurse to implement?

oral care

offering the client to discuss their feelings

diet modifications

application of compression stockings

Answer and Explanation

The Correct Answer is C

Choice A Rationale: Oral care is important for overall hygiene but may not take precedence over other critical aspects of care for a client with a spinal cord injury.

Choice B Rationale: Offering the client to discuss their feelings is important for emotional support but may not be the highest priority.

Choice C Rationale: Diet modifications are a high priority because they are essential for addressing the client's nutritional needs and preventing complications related to the spinal cord injury, such as pressure ulcers and infections.

Choice D Rationale: The application of compression stockings may have a role in the care plan but is not typically the highest priority for a client with a spinal cord injury.

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Correct Answer is D

Explanation

Choice A Rationale: Fecal incontinence is not typically associated with mild Alzheimer's disease but may occur in later stages.

Choice B Rationale: Urinary incontinence can occur in Alzheimer's disease, but it is not specific to the mild stage.

Choice C Rationale: Inability to smile is not a typical manifestation of Alzheimer's disease but may be related to facial muscle weakness or other factors.

Choice D Rationale: Being able to drive to familiar places is consistent with the early stage of Alzheimer's disease, where clients may still have some independence and ability to perform routine tasks.

A. The client received an influenza vaccine 4 weeks ago B. The client is an avid golfer C. The client cans jams and preserves D. The client has a history of diabetes

Correct Answer is A

Explanation

Choice A Rationale: The client receiving an influenza vaccine 4 weeks ago is relevant because Guillain-Barre syndrome can sometimes be triggered by infections or vaccinations, including influenza vaccines.

Choice B Rationale: The client's hobby of golfing is not directly related to the described symptoms.

Choice C Rationale: Canning jams and preserves is not directly related to the described symptoms.

Choice D Rationale: A history of diabetes, while important for the client's overall health, may not be directly related to the current manifestations.

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A nurse is preparing a care plan for a client with a spinal cord injury. Which of the following is the highest priority for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for the client with Alzheimer's documents that the client is in the early stage of Alzheimer's. Which findings are consistent with mild Alzheimer's disease?

Correct Answer is D

Explanation

A client arrives with respiratory muscle weakness, difficulty swallowing and abdominal pain. Which of the following reported by the client's husband is relevant to the client's manifestations?

Correct Answer is A

Explanation

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