Author Question: A 50-year-old client with paraplegia is wheelchair bound. Which of the following instructions should ... (Read 58 times)

CORALGRILL2014 · **on:** Jul 17, 2018

A 50-year-old client with paraplegia is wheelchair bound. Which of the following instructions should the nurse give to the caregiver regarding adaptations to be made for the convenience of the client at home?

A) Installing lowered electrical outlets
B) Providing low coffee tables
C) Providing small lights in darker areas
D) Installing overhead showers

Question 2

The nurse is caring for a newborn with transient tachypnea of the newborn (TTN). Which of the following is a typical nursing intervention for this condition?

A) Providing continuous positive airway pressure treatments
B) Administering IV antibiotics
C) Giving supplemental oxygen as per the health provider's order
D) Administering exogenous surfactant by ET tube

yuyiding · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
The client's house should be provided with small lights in darker areas to prevent accidental falls. The level of electrical outlets should be raised instead of lowered so that the client can reach them from a wheelchair without having to bend. Low coffee tables should be removed from the room to provide space for moving the wheelchair. The nurse should also instruct the client's caregiver to install hand-held showers instead of overhead showers mounted on the wall because they are much easier to use.

Answer to Question 2

C
Feedback:
For the newborn with transient tachypnea of the newborn, the nurse monitors oxygen saturation levels via routine pulse oximetry. Supplemental oxygen is given, if indicated, according to the health provider's order. Frequent vital signs are taken and the nurse observes nutritional intake and hydration levels. The infant with respiratory distress syndrome typically is transferred to a neonatal intensive care unit for complex, multidisciplinary therapies, including IV antibiotics, total parenteral nutrition, and administration of high concentrations of oxygen. Oxygenation using hood, cannula, or mechanical ventilation via ET tube is used according to the severity of symptoms. Continuous positive airway pressure (CPAP) treatments and exogenous surfactant by ET tube may also be included.