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When reviewing the health history of a client, which of the following finding is consistent with a diagnosis of Bell's Palsy?

A Currently pregnant

B Thyroid disease

C Seizure disorder

D Current smoker

Answer and Explanation

The Correct Answer is A

Choice A Rationale: Being currently pregnant is a risk factor for developing Bell's Palsy.

Choice B Rationale: Thyroid disease is not a direct risk factor or consistent finding in Bell's Palsy.

Choice C Rationale: Having a seizure disorder is not directly related to Bell's Palsy.

Choice D Rationale: Current smoking is not a risk factor associated with Bell's Palsy

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Correct Answer is A

Explanation

Choice A Rationale: The nurse will include instructions on draining the bladder with a clean intermittent catheter at appropriate intervals to prevent urinary retention and complications. This should be done every 3 to 6 hours, depending on the amount of fluid intake and output.

Choice B Rationale: Decreasing fluid intake is not typically recommended for individuals with spinal cord injuries, as adequate hydration is important.

Choice C Rationale: Observing the urine for a foul odor is relevant to monitor for urinary tract infections, but it is not a preventive measure.

Choice D Rationale: Keeping an indwelling catheter in place at all times is not typically recommended due to the increased risk of urinary tract infections and other complications.

A. The client will be NPO until fitted for a halo vest B. A high calorie, high protein diet will be started within 3 days C. High fiber and decreased protein is needed immediately after injury D. Low fiber and no protein is needed 2 days after the injury

Correct Answer is B

Explanation

Choice A Rationale: Keeping the client NPO until fitted for a halo vest is not a standard practice, and nutritional support should be initiated as soon as possible.

Choice B Rationale: A high-calorie, high-protein diet is typically started within 3 days of a spinal cord injury to support healing and prevent muscle wasting.

Choice C Rationale: High fiber and decreased protein are not the immediate dietary needs after a spinal cord injury. High protein intake is important for tissue repair.

Choice D Rationale: Low fiber and no protein would not be recommended 2 days after a spinal cord injury, as protein intake is crucial for healing and recovery.

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When reviewing the health history of a client, which of the following finding is consistent with a diagnosis of Bell's Palsy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?

Correct Answer is A

Explanation

When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?

Correct Answer is B

Explanation

When educating a client about tetanus, which of the following will the nurse include in teaching? Select All that Apply

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A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?

A client who suffered partial paralysis is repositioned by the nurse every 2 hours. After placing the client in a side-lying position, what action will nurse take to prevent complications?

A nurse is teaching the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Which of the following statements should the nurse make?

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