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Quiz

spinal cord injury

Usuário eliminado 10 perguntas Atualizado em 13 fev 2020

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Perguntas do quiz (10)

  1. 1A client has suffered a spinal cord injury after a fall. When he is brought in for care, the client experiences diaphoresis and headache. The nurse notes that his blood pressure is 174/102 mmHg. Which action should the nurse perform first?
    1. ARaise the head of the bed, lower the legs, and remove constrictive clothing
    2. BApply hemodynamic monitoring
    3. CAsk the client to perform the Valsalva maneuver
    4. DAssess the client for fecal impaction
  2. 2A 22-year-old client has suffered a spinal cord injury in which he is experiencing spinal shock and cannot feel his legs. Twenty-four hours after the injury, the client tells the nurse, “This will be good for me. I can handle this and I’m doing fine.” Which response from the nurse is most likely indicated?
    1. AAsk the client if he would like to speak with a spiritual advisor or social worker
    2. BContinue to treat the client as is but remind him that he may never walk again
    3. CMake arrangements for the client to be discharged to home
    4. DDocument the client's positive attitude regarding this life-changing disability
  3. 3A client with a spinal cord injury has difficulty determining when the bladder needs emptied. The nurse teaches the client about tapping to stimulate voiding. How would the nurse describe tapping to this client?
    1. AThe area over the bladder is tapped to stimulate the bladder muscles
    2. BThe client bears down to increase pressure and then taps the base of the abdomen to release urine
    3. CThe client wears a device that acts as a tap or faucet to stop and start urine flow
    4. DThe client alternately taps the abdomen and the back to signal messages across the body to promote urination
  4. 4The most appropriate prevention against spinal cord injury is which of the following actions?
    1. AUse seat belts in the car
    2. BAvoid horseback riding without a helmet
    3. CAvoid surfing
    4. DDrink in moderation before driving
  5. 5The nurse knows that a client suffering from complete paralysis from the waist down would have the condition of which of the following?
    1. AHemiparesis
    2. BHemiplegia
    3. CParaparesis
    4. DParaplegia
  6. 6The nurse is on a rapid response team that has responded to a code blue. The victim is a visitor who has fallen down a flight of stairs and is unresponsive. A cervical spine injury is suspected. In order to perform CPR safely, what is the best initial intervention?
    1. AJaw thrust maneuver
    2. BChin tilt maneuver
    3. CNasotracheal intubation
    4. DCricothyroidotomy
  7. 7A client has suffered a spinal cord injury after a diving accident. When first brought to the emergency room, the client is suffering from spinal shock. Which symptoms best describe this condition?
    1. AFlaccid paralysis and anesthesia in the lower extremities
    2. BHypertension, headache, and blurred vision
    3. CBack pain, muscle spasms, and difficulty walking
    4. DDecreased venous return and skin breakdown in the extremities
  8. 8The client has a spinal cord injury and is suffering from spinal shock. Which of the following is an expected symptom in spinal shock?
    1. ABradycardia
    2. BSpasticity
    3. CIncreased visceral reflexes
    4. DHypertension
  9. 9A client is being seen in the emergency department after a spinal cord injury. The client initially states an inability to feel anything below the shoulders. At which point would this client need to be intubated with an endotracheal tube?
    1. AThe point at which the client has a Glasgow Coma Score of 8
    2. BThe point at which the client has a respiratory rate of 10/minute
    3. CThe point at which the client's oxygen saturation is 88 percent on room air
    4. DUpon discovering that the client has a pneumothorax as seen on x-ray
  10. 10The nursing care plan of a client with spinal cord injury should include which of the following? Select all that apply.
    1. AMaintain stable vital signs
    2. BProvide skeletal traction
    3. CPrepare client for surgical stabilization of spine
    4. DBegin aggressive steroid therapy
    5. EAdminister antispasmodics

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O usuário eliminou as informações de disciplina Quiz sobre spinal cord injury , criado por Usuário eliminado em 13-02-2020.
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Usuário eliminado
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English
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25
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Criado em 13 fev 2020 · atualizado em 13 fev 2020
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