Mobility Pre Module Quiz

What is the primary reason the nurse encourages a client with a spinal cord injury to increase oral fluid intake? A. To prevent urinary tract infections B. To prevent skin breakdown C. To prevent dehydration D. To prevent electrolyte imbalances

A

A nurse is concerned about helping the parents of an infant with cerebral palsy set long-term goals for the family. These goals should be set with the understanding that: A. Unknown extent of the disability requires continual adjustments. B. Diminished immune responses require protection from infection. C. Progressive deterioration requires future institutionalization. D. Cognitive impairments require special education.

A

A young adult client is hospitalized with a spinal cord injury. The client, knowing that the paralysis may be permanent, says, "I wish God would end my suffering and take me." What is the most therapeutic initial response by the nurse? A. "You shouldn't give up hope." B. "Being incapacitated is difficult for you." C. "Have you talked to your family about your feelings?" D. "Would you like to speak to a religious advisor?"

B

After a client is treated for a spinal cord injury, the health care provider informs the family that the client is a paraplegic. The family asks the nurse what this means. What explanation should the nurse provide? A. Upper extremities are paralyzed B. Lower extremities are paralyzed C. Both lower and upper extremities are paralyzed D. One side of the body is paralyzed

B

A mother whose infant was found to have cerebral palsy at 6 months of age asks why she was not told that her baby had cerebral palsy when the infant was born. How should the nurse respond? A. "The staff members didn't want to alarm you until it was necessary." B. "Joint deformities don't appear until after 6 months of age." C. "Until there's control of voluntary movement a diagnosis can't be confirmed." D. "The neurological lesions changed as your baby matured."

C

A nurse in the emergency department is caring for a 9-year-old child with a suspected spinal cord injury sustained while falling off a bicycle. What is the initial nursing action? A. Placing the child's head on a pillow for support B. Log-rolling the child to check for lacerations on the back C. Immobilizing the child's spine to limit additional injury D. Moving the child onto a firm stretcher for transport to the radiography department

C

A nurse in the pediatric clinic should be most observant for signs of cerebral palsy in a 6-month-old infant who was born: A. In an elective cesarean birth B. Exhibiting the Moro reflex C. During the 32nd week of gestation D. To a 40-year-old mother

C

Why does the nurse plan to monitor for signs of autonomic dysreflexia in a client who sustained a spinal cord injury at the T2 level? A. Flaccid paralysis of the lower extremities has occurred. B. Reflexes have been lost. C. There is a damage above the sixth thoracic vertebra. D. There is partial transection of the cord.

C

A client is in the intensive care unit after sustaining a T2 spinal cord injury. Which priority interventions should the nurse include in the client's plan of care? Select all that apply. A. Minimizing environmental stimuli B. Discussing long-term treatment plans with the family C. Monitoring and maintaining blood pressure D. Assessing for respiratory complications E. Initiating a bowel and bladder training program

C,D

A 9-year-old child who has cerebral palsy and scoliosis also is mentally challenged and blind. The child is incontinent, has contractures of the elbows and wrists, and sits in a customized wheelchair most of the day. One goal of nursing care is for the child's skin integrity to remain intact. Which nursing action will best achieve this goal? A. Padding the child's lower extremities B. Repositioning the child every 4 hours C. Replacing the bed linens with sterile linens D. Changing disposable diapers every 2 to 3 hours

D