Chapter 16 Spinal Cord Injury ATI Questions 5.0 (1 review) Students also studied Terms in this set (5) Science MedicineNursing Save Spinal Cord Injury NCLEX 26 terms ET0003Preview
ATI CHAPTER 16 SPINAL CORD INJU...
71 terms pamelamiller75 Preview Spinal Cord Injury NCLEX Questions...53 terms Maria_Coronado22 Preview Spinal C Teacher julia A nurse is planning care for a client who has a spinal cord injury (SCI) involving a T12 fracture 1 week ago. The client has no muscle control of the lower limbs, bowel, or bladder. Which of the following should be the nurse's highest priority?
- prevention of further damage to the spinal cord
- prevention of contracture of the lower extremities
- prevention of skin breakdown of areas that lack
- prevention of postural hypotension when placing the
- prevention of further damage to the spinal cord
- neurogenic shock
- paralytic ileus
- stress ulcer
- respiratory compromise
- respiratory compromise
- examine skin for irritation or pressure
- sit the client upright in bed
- check the urinary catheter for blockage
- administer antihypertensive medication
- sit the client upright in bed
sensation
client in a wheelchair
A nurse is caring for a client who has a C4 spinal cord injury. The nurse should recognize the client is at greatest risk for which of the following complications?
A nurse is caring for a client who has a spinal cord injury who reports a severe headache and is sweating profusely. Vital signs include blood pressure 220/110 mmHg and apical heart rate 54/min. Which of the following actions should the nurse take first?
A nurse is caring for a client who experienced a cervical spine injury 24 hr ago. Which of the following should the nurse clarify with the provider?
- anticoagulant
- plasma expanders
- H2 antagonists
- muscle relaxants
- muscle relaxants
- condom catheter
- intermittent urinary catheterization
- Crede's method
- indwelling urinary catheter
- condom catheter
A nurse is caring for a client who experienced a cervical spine injury 3 months ago. The nurse should plan to implement which of the following types of bladder management methods?