The nurse is assessing a patient's musculoskeletal system after a swimming accident and notes that the patient can move both arms but is unable to move their legs. The nurse should document this finding as which of the following?
Hemiparesis
Hypertonicity
Crepitation
Paraplegia
The Correct Answer is D
A. Hemiparesis: Hemiparesis refers to weakness on one side of the body, which does not fully describe the inability to move only the legs.
B. Hypertonicity: Hypertonicity refers to increased muscle tone or stiffness, not the inability to move legs.
C. Crepitation: Crepitation refers to a crackling or popping sound in the joints, not the inability to move legs.
D. Paraplegia: Paraplegia refers to the paralysis of the lower half of the body, including the legs, which fits the description of the patient’s condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "DNR prevents resuscitation while AND allows for feeding tubes only." This is incorrect as the Allow Natural Death (AND) order does not specifically address feeding tubes; it focuses on allowing natural death without aggressive life-sustaining interventions.
B. "Both orders require healthcare professionals do everything possible to save the patient." This is incorrect because both DNR and AND orders are intended to prevent certain resuscitation efforts. The goal of both is to limit or avoid aggressive interventions, though AND is more focused on allowing natural death with comfort care.
C. "Both orders prevent resuscitation; however, AND is more perceived to be more helpful." Both DNR and AND orders prevent resuscitation efforts, but AND is often perceived as a more comprehensive approach to end-of-life care, focusing on comfort and allowing a natural death.
D. "DNR allows mechanical ventilation while AND prevents all resuscitation efforts." This is incorrect because a DNR order specifically addresses not performing CPR, but it does not necessarily prevent other forms of life support such as mechanical ventilation. AND is a broader term that generally aims to limit all forms of aggressive treatment, including mechanical ventilation.
Correct Answer is D
Explanation
A. Hemiparesis: Hemiparesis refers to weakness on one side of the body, which does not fully describe the inability to move only the legs.
B. Hypertonicity: Hypertonicity refers to increased muscle tone or stiffness, not the inability to move legs.
C. Crepitation: Crepitation refers to a crackling or popping sound in the joints, not the inability to move legs.
D. Paraplegia: Paraplegia refers to the paralysis of the lower half of the body, including the legs, which fits the description of the patient’s condition.
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