NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Questions on Health Promotion and Maintenance Questions

Extract:

Question 1 of 5

When preparing the client with a spinal cord injury who is experiencing bladder spasms and reflex incontinence for discharge to home, the nurse should provide which instruction to prevent the problem?

A. Avoid caffeine in your diet. B. Take your temperature every day. C. Limit your fluid intake to 1000 mL per 24 hours. D. Catheterize yourself every 2 hours as needed to prevent spasm.

Correct Answer: A

Rationale: Caffeine in the diet can contribute to bladder spasms and reflex incontinence; thus, it should be eliminated in the diet of the client with a spinal cord injury. The self-monitoring of the temperature is useful to detect infection, but it does nothing to alleviate bladder spasms. Limiting fluid intake does not prevent spasm, and it could place the client at further risk for urinary tract infection. Self-catheterization every 2 hours is too frequent and serves no useful purpose.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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