Author Question: A client suffered a spinal cord injury during a motor vehicle accident which necessitated the ... (Read 102 times)

melina_rosy · **on:** Jul 22, 2018

A client suffered a spinal cord injury during a motor vehicle accident which necessitated the creation of a tracheostomy. What nursing diagnosis should the nurse recognize as a likely consequence of this intervention?

A) Risk for deficient fluid volume
B) Impaired verbal communication
C) Unilateral neglect
D) Decisional conflict

Question 2

A nurse is caring for an elderly client with chronic back pain and a sleeping disorder. The nurse suggests some relaxation techniques to be performed before bedtime. Which of the following techniques should the nurse suggest?

A) Drink a glass of wine
B) Complete a crossword puzzle
C) Sit in a rocking chair
D) Put on cool clothes

bubulittle310@msn.cn · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
Because a tracheostomy tube is below the level of the larynx, clients usually cannot speak. A tracheostomy does not necessarily create a risk for fluid volume deficit. Functional deficits are unlikely to be unilateral and the client's possible decisional conflict is not likely to be a direct consequence of the tracheostomy.

Answer to Question 2

C
Feedback:
The nurse should encourage elderly clients to use relaxation techniques before bedtime such as chair rocking, imagery, meditation, deep breathing, progressive relaxation, soothing music, body or foot massage, reading nonstimulating materials, or watching nonstimulating television. Alcohol should not be used to produce sleep and a crossword puzzle may be too stimulating. The client should dress in warm, not cool, clothes.