A nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

Falls

Gunshot wounds

Sporting accidents

Motor vehicle accidents

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Falls is correct. Among individuals aged 65 years and older, falls are the most common cause of spinal cord injuries. As people age, they may experience changes in balance, mobility, and bone density, which can increase their risk of falling. Falls can occur both at home and in other environments, such as during outdoor activities or in healthcare settings. Spinal cord injuries resulting from falls in older adults can have significant consequences, including decreased mobility, chronic pain, and loss of independence.

Choice B Reason:

Gunshot wounds is incorrect. Gunshot wounds can cause spinal cord injuries, but they are not the most common cause for individuals aged 65 years and older. Gunshot wounds tend to be more common in younger age groups or in specific contexts such as violence-related incidents, which are less frequent in older adults.

Choice C Reason:

Sporting accidents is incorrect. Sporting accidents can also lead to spinal cord injuries, especially in younger and more active individuals participating in high-impact sports. However, among individuals aged 65 years and older, participation in sporting activities that could result in spinal cord injuries is generally less common compared to younger age groups.

Choice D Reason:

Motor vehicle accidents is incorrect.

Motor vehicle accidents can cause spinal cord injuries, but they are not as common in the elderly population as they are in younger age groups. Older adults may have reduced driving frequency or may be more cautious on the road, which decreases their risk of motor vehicle accidents compared to younger individuals.

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Free Nursing Study Resources

Correct Answer is ["B","D","E","F"]

Explanation

Choice A Reason:

Sedatives do not impact the risk of obstructive sleep apnea: This statement is incorrect. Sedatives, particularly those that cause muscle relaxation or depress the central nervous system, can exacerbate obstructive sleep apnea by further relaxing the muscles of the upper airway, leading to increased airway collapse during sleep.

Choice B Reason:

CPAP compliance enhances quality of sleep is correct. Continuous positive airway pressure (CPAP) therapy is a common treatment for obstructive sleep apnea. Compliance with CPAP therapy, meaning consistent and proper use of the CPAP device during sleep, is essential for effectively managing sleep apnea and improving sleep quality.

Choice C Reason:

Alcohol does not affect the risk of obstructive sleep apnea. This statement is incorrect. Alcohol consumption can worsen obstructive sleep apnea by promoting muscle relaxation in the upper airway, leading to increased airway collapse and more frequent episodes of apnea during sleep.

Choice D Reason:

Obesity increases the risk of obstructive sleep apnea. This statement is correct. Obesity is a significant risk factor for obstructive sleep apnea. Excess fat tissue around the neck can increase the likelihood of airway obstruction during sleep, contributing to the development or worsening of sleep apnea.

Choice E Reason:

Positional therapy enhances client comfort is correct. Positional therapy involves strategies to encourage sleeping in positions that minimize the severity of obstructive sleep apnea, particularly for individuals with positional OSA (where apnea events are primarily or significantly worse when sleeping in specific positions, such as supine). This statement is correct.

Choice F Reason:

Smoking increases the risk of obstructive sleep apnea: This statement is correct. Smoking can increase the risk of obstructive sleep apnea due to its effects on upper airway inflammation and respiratory function. Smoking cessation can be beneficial in managing sleep apnea and improving overall health.

A. Weight control if the client's BMI is greater than 35 B. Healthy lifestyle C. Smoking cessation D. Heart disease prevention E. Glycemic control if the client is diabetic

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

Explanation

Choice A Reason:

Weight control if the client's BMI is greater than 35 is correct. Obesity is a risk factor for cardiovascular disease and can exacerbate symptoms of heart failure. Weight control, particularly if the client's BMI is greater than 35, is important for managing cardiac conditions such as heart failure and reducing the risk of pulmonary edema.

Choice B Reason:

Healthy lifestyle is correct. Adopting a healthy lifestyle, including regular exercise, balanced diet, adequate hydration, and stress management, is essential for managing cardiac conditions and reducing the risk of complications such as pulmonary edema.

Choice C Reason:

Smoking cessation is correct. Smoking is a major risk factor for cardiovascular disease and can worsen heart failure symptoms. Smoking cessation is crucial for managing cardiac conditions and reducing the risk of pulmonary edema and other complications.

Choice D Reason:

Heart disease prevention is correct. Providing information about heart disease prevention strategies, such as maintaining a healthy diet, managing blood pressure and cholesterol levels, regular exercise, and regular medical check-ups, can help reduce the risk of exacerbations and complications in clients with pre-existing cardiac conditions.

Choice E Reason:

Glycemic control if the client is diabetic is correct. Diabetes is a risk factor for cardiovascular disease and can contribute to the development and progression of heart failure. Glycemic control, along with lifestyle modifications and medication management, is important for managing diabetes and reducing the risk of complications such as pulmonary edema.

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A nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following obstructive sleep apnea risk factors and behavioral therapies should the nurse discuss with the client? (Select All that Apply.)

Correct Answer is ["B","D","E","F"]

Explanation

Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select All that Apply.)

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

Explanation

A nurse is providing care to a client who is experiencing wheezing after receiving an antibiotic 20 min ago. Which of the following findings is the priority of the nurse to monitor for?

A nurse is planning care for a client who has neurogenic shock following a spinal cord injury. Which of the following provider prescriptions should the nurse anticipate? (Select all that apply.) (Select All that Apply.)

A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.) (Select All that Apply.)

Which of the following is true regarding the physiology of an open pneumothorax?

A client is seeking treatment for a respiratory infection at a local clinic. During the visit, the client verbalizes concern about the cost of medication and the inability to pay for it. Which of the following responses should the nurse use?

A nurse is teaching a client who has a complete spinal cord injury about bowel and bladder management. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) (Select All that Apply.)

A nurse is caring for a client with asthma. Which of the following statements are true regarding physiological changes of the respiratory system in the aging adult client?

A nurse is assessing a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?