Author Question: The nurse assesses a young adult client who was involved in a swimming accident, resulting in ... (Read 78 times)

captainjonesify · **on:** Jun 25, 2018

The nurse assesses a young adult client who was involved in a swimming accident, resulting in tetraplegia. The client makes eye contact with the nurse and states, I'm going to beat this and walk out of here.

Based on this data, which nursing diagnosis is the most appropriate for this client?
A) Risk for Post-Trauma Syndrome
B) Impaired Physical Mobility
C) Self-Care Deficit
D) Noncompliance

Question 2

The nurse is presenting a talk on spinal cord injury for a community health fair. Which statement indicates that the attendees understand the risk factors and prevention methods associated with spinal cord injury?

A) There isn't much I can do to prevent a head injury when another vehicle hits my car.
B) As long as my grandson wears a helmet, he will be safe on his motorcycle.
C) I'm going to spend extra time discussing this talkmy Boy Scout troop because of their higher risk for spinal cord injury.
D) Due to their high risk, I'd like you to present this talk to the Native American population.

bdobbins · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The client's statement is unrealistic and is evidence of Risk for Post-Trauma Syndrome. Although the client with tetraplegia does have Impaired Physical Mobility and Self-Care Deficit, this statement is not evidence of those nursing diagnoses. There is no indication of Noncompliance.

Answer to Question 2

Answer: C

The highest-risk population for spinal cord injuries is males between 16 and 30 years old. Riding motorcycles increases spinal cord injuries. Native Americans are the ethic group with the lowest risk of spinal cord injury. Using a seat belt is a major preventive action for an individual involved in a motor vehicle accident.