10.05 pts A client is admitted with

10.05 pts A client is admitted with a spinal cord injury at the seventh cervical vertebra secondary to a gunshot wound. Which nursing intervention is the priority for the client at this time? Group of answer choices Positioning the client to maximize ventilation potential Taking vital signs every 2 hours Inserting an indwelling urinary catheter Monitoring the client’s nutritional status Flag : 2Question 20.05 pts To prevent the leading cause of death for clients with spinal cord injury, collaboration with which component of the primary health care team is a nursing priority? Group of answer choices Nutritional therapy Physical therapy Respiratory therapy Occupational therapy Flag : 3Question 30.05 pts A family member of a client with a recent spinal cord injury asks the nurse, “Can you please tell me what the real prognosis for recovery is? I don’t feel like I’m getting a straight answer.” What would be the appropriate response for the nurse? Group of answer choices “Only time will tell, but hopefully the client will be able to care for yourself.” “Every injury is different, and it is too soon to have any real answers right now.” “The Health Insurance Portability and Accountability Act requires that I obtain the client’s permission first.” “Please request a meeting with the primary health care provider. I can help set that up.” Flag : 4Question 40.05 pts The nurse is collaborating with the rehabilitation therapist to improve mobility skills for a client with a complete high-level spinal cord injury. Which technique is appropriate for this client? Group of answer choices Use of a mechanical lift to get the client out of bed Use of a sliding board (slider) to transfer from bed to a chair Use of parallel bars to facilitate ambulation Use of a walker to promote balance and prevent muscle atrophy Flag : 5Question 50.05 pts Which nursing intervention is best for preventing complications of immobility when caring for a client with spinal cord injury? Group of answer choices pecial pressure-relief devices Frequent ambulation Encouraging nutrition Regular turning and repositioning Flag : 6Question 60.05 pts A client with severe muscle spasticity has been prescribed tizanidine. The nurse instructs the client about which adverse effect of tizanidine? Group of answer choices Drowsiness Hypertension Tachycardia Hirsutism Flag : 7Question 70.05 pts A client returns to the neurosurgical floor after undergoing a traditional anterior cervical diskectomy and fusion (ACDF). What is the nurse’s first action? Group of answer choices Check the client’s ability to void. Administer pain medication. Assist with ambulation. Assess airway and breathing. Flag : 8Question 80.05 pts The nurse is caring for a client with a spinal cord injury resulting from a diving accident, who has a halo fixator and an indwelling urinary catheter in place. The nurse notes that the blood pressure is elevated and that the client is reporting a severe headache. The nurse anticipates that the primary health care provider will prescribe which medication? Group of answer choices Nifedipine Dopamine hydrochloride Ziconotide Methylprednisolone Flag : 9Question 90.05 pts A client with a T6 spinal cord injury who is on the rehabilitation unit suddenly develops facial flushing and reports a severe headache. Blood pressure is elevated, and the heart rate is slow. Which action does the nurse take first? Group of answer choices Help the client sit up. Check for fecal impaction. Loosen the client’s clothing. Insert a straight catheter. Flag : 10Question 100.05 pts The nurse is caring for a client who sustained a complete cervical spinal cord injury and is at risk for autonomic dysreflexia. Which assessment findings would the nurse anticipate if this complication occurs? (Select all that apply.) Group of answer choices Goose bumps above and/or below the injury level Sudden and severe hypertension Severe throbbing headache Profuse sweating above the injury level Nasal congestion and blurred vision Facial and skin flushing

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