10. A client is disoriented to time and place and has impaired cognitive ability because of a severe traumatic brain injury due to an accident. Which are appropriate nursing interventions when administering nursing care to this client? Select all that apply. 1) Offer basic choices 2) Provide simple directions 3) Teach activities of daily living. 4) Explain in detail what is to be done. 5) Provide continuous support during a procedure

3 answers

Appropriate nursing interventions when administering nursing care to a client with a severe traumatic brain injury include:

1) Offer basic choices - This allows the client to have some control and helps to promote independence.
2) Provide simple directions - Clear and concise instructions are easier for the client to understand and follow.
3) Teach activities of daily living - This helps to promote independence and provide the client with skills needed for self-care.
5) Provide continuous support during a procedure - This is important to help reduce anxiety and ensure the client's safety and comfort.

Therefore, the appropriate nursing interventions for this client would be to offer basic choices, provide simple directions, teach activities of daily living, and provide continuous support during a procedure.
If an injury reduces blood flow to the kidneys, which of the following will occur? Aldosterone secretion will increase. The amount of ADH in the blood will decrease . Obligatory water reabsorption will decrease. Sodium reabsorption will be inhibited . There will be systemic vasodilation
If an injury reduces blood flow to the kidneys, the following will occur:

1) Aldosterone secretion will increase - Aldosterone is a hormone that regulates sodium and water reabsorption in the kidneys. When blood flow to the kidneys is reduced, aldosterone secretion generally increases to promote sodium reabsorption and water retention.

2) The amount of ADH in the blood will decrease - ADH (antidiuretic hormone) is responsible for regulating water reabsorption. When blood flow to the kidneys is reduced, the release of ADH usually decreases, leading to decreased water reabsorption and increased urine output.

3) Obligatory water reabsorption will decrease - Obligatory water reabsorption refers to the reabsorption of water that occurs passively along with solute reabsorption in the renal tubules. Reduced blood flow to the kidneys can impair this process, leading to decreased obligatory water reabsorption and increased urine output.

4) Sodium reabsorption will be inhibited - When blood flow to the kidneys is reduced, sodium reabsorption is generally inhibited. This is because reduced blood flow impairs the functioning of the renal tubules, which are responsible for the reabsorption of sodium.

5) There will be systemic vasodilation - Reduced blood flow to the kidneys can trigger a compensatory response in the body known as systemic vasodilation. This dilation of blood vessels throughout the body helps to increase blood flow to the kidneys and improve renal perfusion.

In summary, if an injury reduces blood flow to the kidneys, aldosterone secretion will increase, the amount of ADH in the blood will decrease, obligatory water reabsorption will decrease, sodium reabsorption will be inhibited, and there will be systemic vasodilation.