The nurse is caring for a patient with a complete spinal cord injury at the level of C7. Which intervention would the nurse implement in order to prevent complications related to immobility?

Frequent passive range of motion

Coughing and deep breathing exercises once per shift

Turn patient every 4 hours

Ambulate patient twice per shift

Answer and Explanation

The Correct Answer is A

A. Frequent passive range of motion exercises are crucial for preventing complications of immobility, such as contractures and pressure ulcers, and to promote circulation in patients with spinal cord injuries.

B. While coughing and deep breathing exercises are important for respiratory health, they should be performed more frequently than once per shift in patients with reduced mobility to prevent respiratory complications.

C. Turning the patient every 4 hours may not be adequate to prevent pressure ulcers; typically, patients should be turned at least every 2 hours.

D. Patients with a complete spinal cord injury at C7 typically lack the ability to ambulate, making this intervention inappropriate.

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Correct Answer is C

Explanation

A. This is a correct statement, as using multiple drugs helps to reduce the likelihood of resistance and enhances viral suppression.

B. This is accurate; if resistance develops, alternative medications or combinations can be considered.

C. This statement indicates a misunderstanding. Antiretroviral medications do not kill the virus; they suppress its replication. Lifelong adherence to antiretroviral therapy is necessary to manage HIV and prevent viral rebound.

D. Correct, as an effective regimen should lead to an increase in CD4 count and improved immune function.

A. Bradycardia and hypotension B. Tachycardia and dry cough C. Scleral injection and tearing D. Changes in eye pigmentation

Correct Answer is A

Explanation

A. Timolol is a beta-blocker that can be absorbed systemically, leading to side effects such as bradycardia and hypotension, which require monitoring.

B. Tachycardia and dry cough are not common side effects of timolol; dry cough is more associated with ACE inhibitors.

C. Scleral injection and tearing are not common side effects and are not expected with timolol use.

D. Changes in eye pigmentation are more commonly seen with prostaglandin analogs, not with beta-blockers like timolol.

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The nurse is caring for a patient with a complete spinal cord injury at the level of C7. Which intervention would the nurse implement in order to prevent complications related to immobility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement made by a patient who is diagnosed with human immunodeficiency virus (HIV) and is prescribed three antiretroviral medications, indicates the need for further teaching about the medication combination?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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