A client sustains a crushing injury of the spinal cord above the level of origin of the phrenic nerve. As a result of this injury, the nurse expects what client response?

Correct Answer: D

Rationale: Injury above the phrenic nerve (C3-C5) causes respiratory paralysis (D) by disrupting diaphragm innervation. Fibrillation (A) or vagus issues (B) aren't direct. Sensation/paralysis (C) is incomplete. D is correct. Rationale: Phrenic nerve loss halts breathing, a primary concern in high spinal injuries, per trauma care.

Correct Answer: A

Rationale: Crackles (A) indicate fluid overload in SCI from excess IV fluids entering alveoli. Normal BP (B), pulse (C), or output (D) don't suggest this. A is correct. Rationale: Pulmonary edema from overload requires fluid adjustment, per critical care monitoring, critical in immobile SCI patients.

Correct Answer: A

Rationale: As nurses advance in education, they are likely to develop a personal theory of nursing, integrating knowledge, experience, and values into a unique care philosophy. This evolution reflects deeper understanding of theoretical frameworks like Orem's self-care model and their application to practice, fostering professional identity. Losing critical thinking or interest in bedside nursing contradicts educational goals, which aim to sharpen skills and passion for client care. Enjoying paperwork might occur but isn't a primary outcome. Developing a personal theory empowers nurses to adapt care creatively, such as tailoring interventions to a client's cultural needs, enhancing both competence and advocacy in complex clinical settings.

Correct Answer: A

Rationale: Responding to a client's fear of radiation by suggesting ways to reduce it, while explaining the nurse must stay distant, balances empathy with safety. Radiation exposure risks prevent close contact, making hand-holding or permission-seeking impractical and hazardous. Dismissing fear invalidates the client's feelings. Offering alternatives like relaxation techniques addresses anxiety constructively, aligning with nursing's supportive role while adhering to radiation protocols.

Correct Answer: C

Rationale: Endocrine glands release hormones into the blood, unlike exocrine glands with ducts (sweat, sebaceous). They're epithelial-based. This educates clients on hormonal effects, a nursing teaching role.