A nurse is caring for a client with paraplegia. Which of the ...

[DelorasTo]

A nurse is caring for a client with paraplegia. Which of the following important measures should the nurse follow when providing care for this client?
 
  A) Encourage the use of high-top sneakers to prevent footdrop.
  B) Use a trapeze bar to help in maintaining proper body alignment.
  C) Use trochanter rolls to assist the client when changing positions.
  D) Ask the client to avoid breathing deeply because it may lead to exertion.

Question 2

The nurse is selecting an oxygen mask for a client with pneumonia who requires an oxygen concentration of 75 with a flow rate around 10 LPM. Which of the following masks would be a good choice for this client?
 
  A) Simple mask
  B) Partial-rebreathing mask
  C) Non-rebreathing mask
  D) Venturi mask

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Answer to Question 1

A
Feedback:
The nurse should encourage the use of high-top sneakers to prevent footdrop by maintaining normal anatomic alignment of the joints. A trapeze bar is used to assist the client when changing positions and does not assist in maintaining proper body alignment. A trochanter roll helps to maintain proper body alignment and does not assist the client with position changes. The nurse should encourage the client to breathe deeply or cough to prevent pulmonary complications.

Answer to Question 2

B
Feedback:
The partial-rebreathing mask can achieve oxygen concentrations between 60 and 90, with a suggested flow rate of between 8 and 11 LPM. The simple mask is a low-flow device that provides an oxygen concentration in the range of 40 to 60, with a flow of 6 to 10 LPM. The non-rebreathing mask can provide oxygen in the 90 to 100 range at a suggested flow rate of 12 LPM. Venturi masks offer specific oxygen concentrations ranging from 24 to 50 that match specific adapters for flow rates of 4, 6, or 8 LPM.