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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "Can you describe the feeling you are experiencing?" Asking the patient to describe their sensation helps identify the nature of their discomfort and guides appropriate pain management or further investigation.

B. "Would you like me to give you some pain medication?" Offering pain medication may address the discomfort, but it is important to first understand the nature and severity of the pain.

C. "Do you feel better sitting in the chair?" This question assesses the patient’s comfort but does not address the cause of the pain or discomfort.

D. "Let me know if you are still uncomfortable in the chair." This is a follow-up question rather than an initial assessment, and it may not be proactive enough in addressing the cause of pain.

A. Displacement B. Rationalization C. Dissociation D. Projection

Correct Answer is B

Explanation

A. Displacement: Displacement involves transferring feelings to a less threatening object or person, which is not applicable to the client’s statement.

B. Rationalization: Rationalization involves justifying behaviors or feelings with logical reasons. The client’s statement reflects an unrealistic view rather than justifying actions.

C. Dissociation: Dissociation involves a disconnection from thoughts or feelings, which is not reflected in the client's statement.

D. Projection: Projection involves attributing one’s own feelings or thoughts to others. The client is expressing their own feelings about the wheelchair rather than attributing them to others.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is assisting a client, who is postoperative abdominal surgery, to the chair. The nurse notes the client is guarding the abdomen and grimacing when ambulating. Which of the following would be the most appropriate question or statement by the nurse?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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