An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?

Exposing the affected area to air.

Avoiding the application of moisture sealant.

Avoiding using an electric room deodorizer.

Using scented sprays or perfumes.

Answer and Explanation

The Correct Answer is A

Exposing the affected area to air. Exposing the affected area to air is appropriate because it allows the skin to breathe and reduces the risk of skin breakdown. The client should be instructed to change the pad frequently and wash the perineal area with mild soap and water.

Option B, avoiding the application of moisture sealant, may increase the risk of skin breakdown.

Option C, avoiding using an electric room deodorizer, is not related to the situation.

Option D, using scented sprays or perfumes, may cause skin irritation.

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Correct Answer is A

Explanation

Autonomic dysreflexia is a medical emergency characterized by a sudden onset of excessively high blood pressure, sweating, and headache. It is caused by an overactivity of the autonomic nervous system in response to a noxious stimulus below the level of a spinal cord injury.

Choice B is incorrect because the central nervous system includes the brain and spinal cord, while autonomic dysreflexia is caused by a spinal cord injury.

Choice C is incorrect because the sympathetic nervous system is part of the autonomic nervous system and is involved in the response to autonomic dysreflexia.

Choice D is incorrect because the peripheral nervous system includes the nerves that extend from the brain and spinal cord to the rest of the body.

A. Orange juice. B. Glucagon. C. Cortisone. D. Intravenous dextrose solution.

Correct Answer is D

Explanation

A blood glucose reading of 48 is considered low and requires immediate intervention to raise the client's blood sugar. Intravenous dextrose solution is the fastest way to raise blood sugar levels in an unconscious client. Glucagon and cortisone can also be used to raise blood sugar levels, but they are not the first-line treatment for hypoglycemia.

Choice A, orange juice, is not appropriate for an unconscious client as they cannot swallow or drink.

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An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client experiencing autonomic dysreflexia. Which of the following does the nurse recognize as the source of symptoms?

Correct Answer is A

Explanation

The nurse is checking the blood glucose of a client and has a reading of 48. The client is not easily awakened and only responds with a groan. What will the nurse administer to raise the blood glucose level?

Correct Answer is D

Explanation

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