A nurse is preparing a client with a possible cervical spine injury for a prescribed CT scan of the head and neck after the client sustained a fall down a stairwell. Which intervention by the nurse is the most important?

Log-rolls the client onto a slider board to transfer to the CT table

Applies a hemostatic dressing over a bleeding facial laceration

Inserts large-bore peripheral IVS for administration of IV contrast

Administers PRN lorazepam for client reports of claustrophobia

Answer and Explanation

The Correct Answer is A

A. Log-rolling maintains spinal alignment and prevents further injury when moving a client with a suspected cervical spine injury; this is the highest priority action.
B. Controlling bleeding is important but secondary to preventing spinal cord damage.
C. IV access is necessary for contrast administration but does not take priority over spinal precautions.
D. Managing anxiety is helpful but should not delay safe transfer and spinal precautions

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Correct Answer is ["B","C","D","E"]

Explanation

A. Early-onset dementia is a neurodegenerative condition that leads to cognitive decline but does not cause cerebral edema.
B. A benign brain tumor can increase intracranial pressure and cause localized or generalized cerebral edema due to mass effect.
C. Traumatic brain injury frequently leads to cerebral edema as a result of tissue damage and inflammation.
D. Bacterial meningitis can lead to inflammation of the brain and meninges, often resulting in cerebral edema.
E. Hemorrhagic stroke causes bleeding into the brain tissue, triggering inflammation and swelling (edema) around the affected area.

A. Falls B. Sporting accidents C. Motor vehicle accidents D. Gunshot wounds

Correct Answer is A

Explanation

A. Falls are the leading cause of spinal cord injuries in older adults due to factors like decreased balance, muscle weakness, and osteoporosis.
B. Sporting accidents are more common causes of spinal injuries in younger populations.
C. Motor vehicle accidents are a common cause overall but less so in the elderly compared to falls.
D. Gunshot wounds are a less common cause of spinal cord injuries in older adults.

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A nurse is preparing a client with a possible cervical spine injury for a prescribed CT scan of the head and neck after the client sustained a fall down a stairwell. Which intervention by the nurse is the most important?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with cerebral edema. Which of the following should the nurse recognize as a potential cause of cerebral edema? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

Correct Answer is A

Explanation

The nurse assists with the prehospital care of a patient who experienced a 15-foot fall. Which action by the nurse will limit the damage if a spinal cord injury (SCI) has occurred?

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Which intervention would the nurse identify as a priority when monitoring a patient recovering from a craniotomy?

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A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?

A nurse is preparing a client with a possible cervical spine injury for a prescribed CT scan of the head and neck after the client sustained a fall down a stairwell. Which intervention by the nurse is the most important?

The nurse is caring for a client who has cerebral edema. Which of the following therapies should the nurse recognize as appropriate for the treatment of cerebral edema? (Select All that Apply.)