In counseling patients with spinal cord lesions regarding sexual function, how should the nurse advise a male patient with a complete lower motor neuron lesion?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) He may have uncontrolled reflex erections but orgasm and ejaculation are usually not possible. This is because in a male patient with a complete lower motor neuron lesion, there is disruption in the communication between the spinal cord and the brain, leading to impaired voluntary control over sexual function. Reflex erections can still occur due to intact reflex pathways, but the coordination required for ejaculation and orgasm is typically lost. Option A is incorrect because although reflexogenic erections may occur, the ability to achieve orgasm is usually impaired without ejaculation. Option C is incorrect because a complete lower motor neuron lesion would actually affect both psychogenic and reflexogenic erections. Option D is also incorrect as it generalizes the outcome without considering the possibility of reflex erections. In an educational context, it is important for nurses to understand the specific effects of spinal cord lesions on sexual function to provide accurate counseling to patients. By knowing the nuances of how different types of lesions impact sexual responses, nurses can better support patients in managing their expectations and exploring potential interventions to enhance their quality of life.

Correct Answer: B

Rationale: The correct answer is B) Sprains and strains. RICE (rest, ice, compression, and elevation) is a standard protocol for the initial management of acute injuries like sprains and strains. Rest helps prevent further damage and allows the body to begin the healing process. Ice reduces pain, inflammation, and swelling by constricting blood vessels. Compression helps control swelling and provides support to the injured area. Elevation reduces swelling by aiding in the drainage of excess fluid. Option A) Muscle spasms do not typically require RICE as they are more related to muscle contractions and not acute injuries requiring the same level of management. Option C) Repetitive strain injury is a chronic overuse injury that may require rest and activity modification but does not typically call for the immediate RICE protocol. Option D) Dislocations and subluxations are more severe injuries that typically require immediate medical attention and possible reduction techniques, rather than just RICE. In an educational context, understanding the application of RICE is crucial for nurses and healthcare professionals in managing acute injuries effectively. Knowing when to implement this protocol can help promote optimal recovery and prevent further complications in patients with sprains and strains.

Correct Answer: C

Rationale: In this scenario, the correct intervention to delegate to an LPN when caring for a patient following an acute stroke is to administer ordered antihypertensives and platelet inhibitors (Option C). This task falls within the scope of practice of an LPN as it involves medication administration, which is a common responsibility for LPNs in many healthcare settings. Administering medications like antihypertensives and platelet inhibitors is crucial in the acute phase of a stroke to manage blood pressure and prevent further clot formation, thereby reducing the risk of recurrent strokes. Assessing the patient's neurologic status (Option A) is a complex nursing assessment that requires a higher level of education and critical thinking, making it more appropriate for a registered nurse (RN) to perform. Assessing the patient's gag reflex before feeding (Option B) and teaching caregivers strategies to minimize unilateral neglect (Option D) also involve assessment and education components that are better suited for an RN due to their comprehensive training and scope of practice. In an educational context, understanding the delegation of tasks based on the scope of practice and competencies of different healthcare providers is essential for ensuring safe and effective patient care. Nurses must be able to prioritize and delegate tasks appropriately to optimize patient outcomes and utilize the skills of the entire healthcare team efficiently.

Correct Answer: B

Rationale: In this NCLEX question on the neurological system, the correct answer is B) "When I begin to feel better." This response indicates a misunderstanding of the discharge teaching. Here's the detailed rationale: Correct Answer (B): The statement "When I begin to feel better" suggests that the patient plans to stop the treatment or follow-up care once they start feeling improved. This response is incorrect because neurological conditions often require ongoing management and adherence to treatment regimens even when symptoms improve. This highlights the importance of emphasizing the need for continuity in care and following through with the prescribed treatment plan. Incorrect Answers: A) "It is important for me to avoid exposure to people with upper respiratory infections": This statement shows an understanding of the importance of infection control measures to prevent complications, which is relevant to neurological conditions that may be exacerbated by infections. Therefore, this is a correct statement and does not indicate a need for additional instruction. C) "I should stop taking the prednisone to prevent side effects": Stopping prednisone suddenly can lead to adverse effects and complications. Patients should be advised on proper tapering schedules and the importance of not discontinuing medications abruptly to prevent rebound symptoms or side effects. This response is incorrect and could lead to harm. D) "I plan to use vitamin supplements and a high-protein diet to help manage my condition": While nutrition and supplements can play a supportive role in managing certain conditions, solely relying on these measures without following the prescribed medical treatment can be detrimental. This response indicates a lack of understanding of the primary treatment plan and the necessity of medical interventions in managing neurological conditions. Educational Context: This question underscores the importance of patient education and the nurse's role in ensuring that patients comprehend and adhere to their treatment plans. It highlights the potential consequences of misconceptions or non-adherence to medical advice in the context of neurological conditions. Nurses must provide clear, concise, and repeated instructions to facilitate patient understanding and promote optimal outcomes in managing neurological disorders.

Correct Answer: C

Rationale: In this NCLEX question regarding the type of loss being recognized by the nurse, the correct answer is C) Normal forgetfulness. Educational Rationale: 1. Correct Answer: Normal Forgetfulness Normal forgetfulness is a common occurrence in individuals of all ages. It is characterized by occasional lapses in memory such as forgetting names, where you placed your keys, or an appointment time. It is considered part of the normal aging process and is not indicative of a serious neurological condition. 2. Incorrect Answers: A) Delirium: Delirium is a sudden state of confusion and altered consciousness. It is often caused by an underlying medical condition, medication side effects, or drug intoxication. B) Memory loss in AD: Memory loss in Alzheimer's Disease (AD) is progressive and severe, affecting multiple cognitive functions beyond just forgetfulness. D) Memory loss in mild cognitive impairment: Mild Cognitive Impairment (MCI) is a condition that falls between normal age-related cognitive decline and dementia. Memory loss in MCI is more pronounced and consistent compared to normal forgetfulness. Educational Context: Understanding the differences between normal forgetfulness, delirium, memory loss in Alzheimer's Disease, and memory loss in mild cognitive impairment is crucial for nurses caring for patients with neurological conditions. Recognizing the subtle distinctions between these conditions can help nurses provide appropriate care, support, and interventions tailored to the individual's needs. This knowledge is essential for the accurate assessment and management of patients experiencing cognitive changes.