Difficulty: Medium
Average Score: 66%
Simulated
Passage / Scenario
Adolescent with spina bifida, paralyzed from the waist down.A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct answer
B
Rationale
The correct answer is B. The client stating they only need to catheterize twice a day indicates a need for further teaching because individuals with paralysis from spina bifida may need to catheterize more frequently to prevent urinary retention and complications. The nurse should educate the client on the importance of regular catheterization to maintain bladder health.
Choice A is correct as it demonstrates the client's engagement in physical activity, which is important for overall health. Choice C indicates the client is aware of the importance of staying hydrated. Choice D shows the client's understanding of managing bowel movements, which is also crucial.
Choice A is correct as it demonstrates the client's engagement in physical activity, which is important for overall health. Choice C indicates the client is aware of the importance of staying hydrated. Choice D shows the client's understanding of managing bowel movements, which is also crucial.