A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A contrecoup injury is not considered a "true" injury, and a coup injury can be more devastating.

The coup injury is the primary focal injury, and the contrecoup injury occurs on the opposite side of the brain.

The coup injury occurs secondary to the contrecoup injury but does not affect blood supply to the brain.

Contrecoup injuries are less severe and easier to heal from over time.

Answer and Explanation

The Correct Answer is B

A. A contrecoup injury is a true injury and can be significant; stating it is not considered "true" is incorrect and indicates a lack of understanding.
B. This statement accurately describes coup and contrecoup injuries, where a coup injury occurs at the site of impact and a contrecoup injury occurs on the opposite side of the brain.
C. This statement is incorrect because a coup injury does not occur secondary to the contrecoup; they can happen simultaneously during trauma.
D. Contrecoup injuries can be just as severe as coup injuries, and the healing process varies; stating they are easier to heal from is misleading and reflects a misunderstanding.

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Correct Answer is D

Explanation

A. Standing with feet close together when lifting an object does not provide adequate support or balance, increasing the risk of injury. Proper body mechanics involve keeping feet apart for a stable base of support.
B. Putting weight on the heels when moving an object is not advised. Instead, one should keep the weight distributed over the whole foot for stability.
C. When pushing an object, stepping forward with the front foot (rather than moving it backward) helps to maintain balance and applies proper force.
D. Facing the direction of movement is a correct application of proper body mechanics, as it prevents twisting of the spine, reduces strain on the back, and promotes safe movement.

A. Measure the client's apical pulse rate for 30 seconds before administration. B. Withhold the medication if the client's heart rate is above 100/min. C. Instruct the client to eat foods that are low in potassium. D. Monitor the client for nausea, vomiting, and yellow vision.

Correct Answer is D

Explanation

A. The nurse should measure the apical pulse for a full minute (not 30 seconds) before administering digoxin. If the pulse is below 60 beats per minute, the medication should be withheld, making this option incomplete.
B. Digoxin should be withheld if the heart rate is below 60/min, not above 100/min. This statement does not reflect proper nursing protocol.
C. Clients taking digoxin should maintain adequate potassium levels, so advising low potassium intake is incorrect. Foods rich in potassium are encouraged.
D. Monitoring for symptoms such as nausea, vomiting, and yellow vision is essential, as these may indicate digoxin toxicity, making this option correct.

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A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?

Correct Answer is D

Explanation

A nurse is assisting in the plan of care for a client who is receiving digoxin to treat heart failure. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse in a clinic is reinforcing teaching with a group of clients about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that the client requires further clarification?

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A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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