Which Nursing Action Will the Home Health Nurse Include in the Plan

question 14

Multiple Choice

Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia at the T4 level in order to prevent autonomic dysreflexia?

• A) Support selection of a high-protein diet.
• B) Discuss options for sexuality and fertility.
• C) Assist in planning a prescribed bowel program.
• D) Use quad coughing to strengthen cough efforts.

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Definitions:

Vocal Chords

Bands of tissue in the larynx that vibrate to produce sounds when air is expelled from the lungs, crucial for speech and singing.

Speech Comprehension

The ability of the brain to process and understand spoken language, involving the auditory system, language centers, and complex cognitive processes.

Withdrawal Reflex

A rapid, automatic response to a painful stimulus that involves the immediate retraction of the body part encountering the pain to avoid damage or injury.

Sensory Receptor

The ending of an afferent neuron that is specialized to detect specific energy stimuli in its environment.