What would the nurse include in the teaching plan for a paraplegic client?

What would the nurse include in the teaching plan for a paraplegic client?
A.    self-catheterization
B.    assisted coughing
C.    adapted feeding techniques
D.    compensatory swallowing

The correct answer is A. A paraplegic patient has lower extremity paralysis (paralyzed bladder and bowel). Therefore the nursing priority is ELIMINATION.

Review:
Monoplegia -- 1 limb paralysis
Hemiplegia -- Right or Left side paralysis
Paraplegia – Lower extremity paralysis (note: there is no such thing as upper extremity paralysis)

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Posted in: Nursing

What food is most appropriate for a toddler?

What food is most appropriate for a toddler?
A.    hotdog
B.    grapes
C.    milk
D.    spaghetti

The correct answer is D. Toddlers need a high-carb diet to sustain their active play lifestyle. Toddlers are also at risk for aspiration, therefore eliminate foods that are choking hazards (options A and B). Milk is not the best food for toddlers because of its low IRON content; Milk is the primary cause of Iron-deficiency Anemia in children.

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Posted in: Nursing

What is a normal physical finding of the thyroid gland?

What is a normal physical finding of the thyroid gland?
A.    nodular consistency
B.    asymmetry
C.    tenderness
D.    palpable upon swallowing

The correct answer is A. The thyroid gland is symmetrical, non-tender, and palpable only if the patient has goiter. The palpable mass on the neck is the thyroid cartilage. It is present in both males and females but is larger in males; it develops during puberty

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Posted in: Nursing

nursing priority if the client is suffering from 1st, 2nd, 3rd or 4th degree burns?

What is the nursing priority if the client is suffering from 1st, 2nd, 3rd or 4th degree burns?
A.    fluid and electrolyte balance
B.    infection
C.    pain
D.    airway

The correct answer is B. Infection is a priority for all types of burns. Airway is a priority only for burns to the face and neck. Pain is a second priority for 1st and 2nd degree burns. Fluid and electrolyte balance is a second priority for 3rd and 4th degree burns [no pain because

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What is the best way to prevent the spread of STDs?

What is the best way to prevent the spread of STDs?
A.    Use condoms
B.    Monogamous relationship
C.    Abstinence
D.    Practice Safe Sex

The correct answer is B. TEST-TAKING TIP: Pick the conservative answer. Remember the Board of Nursing is composed of older women with traditional values who do not approve of promiscuity (implied in options A and D). Telling the patient to abstain from sex (Option

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Posted in: Nursing

The following are clinical manifestations of nontoxic goiter (hypothyroidism)

The following are clinical manifestations of nontoxic goiter (hypothyroidism), EXCEPT:
A.    dry skin
B.    lethargy
C.    insomnia
D.    sensitivity to cold

The correct answer is C. Hypothyroidism causes a decrease in thyroid hormones, which in turn causes decreased metabolism. Options A, B and D are all consistent with decreased metabolism. Option C is a symptom of increased metabolism found in hyperthyroidism.

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Posted in: Nursing