Meet The Client Case Study

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1 Meet the Client: Jonathan Begay Jonathan Begay, a 22-year old man of the Navajo Nation, is playing football with some of his friends in the park. He jumps up in the air to catch the football and is hit by another player. Jonathan flips in midair and feels something pop in his neck as he lands hard on the ground. He does not have any pain, but when he tries to get up, he cannot move his legs or arms. Jonathan is alert and talking to his friends. All of Jonathan's friends are standing around him, unsure about what to do. They are afraid that he is badly hurt. Jonathan thinks it is just a temporary sting and states that he will be all right in a few minutes. One of the men calls 911 on a cell phone. 1. What should Jonathan's friends do while…show more content…
He now has some movement in his hands, but he is still unable to move his arms and legs. Jonathan is able to sit upright in a wheelchair and has advanced to a regular diet. Because Jonathan has a reflexic bowel, a bowel program is instituted so that he can have bowel movements. 21. Which information should the nurse include when discussing a bowel elimination program with Jonathan? A) Explain the importance of drinking cold fluids prior to defecation. B) Plan bowel evacuation at the same time every day. C) The importance of turning to his right side. D) Daily enemas will be needed to help achieve a bowel movement. The nurse is discussing autonomic dysreflexia with Jonathan, his girlfriend, and his mother. To evaluate the teaching, the nurse asks Jonathan to explain what it means. 22. Which statement by Jonathan indicates an understanding of autonomic dysreflexia? A) "If I start feeling lightheaded when I get up, I should raise my head more slowly." B) "I should empty my bladder at least every two to three hours." C) "It is a complication that occurs if my extremities aren't moved every two hours." D) "It's an automatic response that occurs whenever I have a bowel movement." During the night shift, Jonathan calls the nursing desk and says, "I have a pounding headache; please give me something." The nurse goes to Jonathan's room. 23. Which intervention should the nurse implement first? A) Assess Jonathan's bladder for distention. B) Move…show more content…
25. Which task can the nurse delegate to the UAP? A) Teach Jonathan how to use the electric wheelchair. B) Assess Jonathan's ability to perform activities of daily living. C) Measure the intake and output (I&0) for the client taking diuretics. D) Discuss appropriate ways to prevent urinary tract infections. The rehabilitation nurse is observing the unlicensed assistive personnel (UAP) caring for a paraplegic client on the rehab unit. 26. Which behavior by the UAP warrants immediate intervention by the nurse? A) The UAP is feeding the client. B) The UAP is taking a tympanic temperature. C) The UAP is emptying the Foley catheter bag. D) The UAP is placing socks on the client's feet. Preparing for Discharge Jonathan tells the nurse, "I am afraid my girlfriend will leave me, but I can't blame her for leaving someone who can't even hold her hand." 27. Which intervention should the nurse implement first? A) Encourage Jonathan to talk to his girlfriend about his concerns. B) Refer Jonathan and his girlfriend to a counselor for sexual education. C) Ask Jonathan if he would like to share his fears about life after leaving the hospital. D) Request a meeting with Jonathan's healthcare team. Jonathan voices concern about how he will be able to make a living after being released from the rehabilitation unit. Prior to the accident he worked at a local factory and attended a community college. His goal was to become a fireman, like his father. 28. Which action should the nurse

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