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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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
Correct Answer is D
Explanation
A. Physical therapists focus on mobility and muscle strength but are not primarily responsible for preventing the leading cause of death.
B. Occupational therapists assist with activities of daily living but do not address the highest mortality risk directly.
C. Nutrition is important for overall health but not the primary factor in preventing the leading cause of death in spinal cord injury patients.
D. Respiratory complications are the leading cause of death in clients with spinal cord injuries due to impaired respiratory muscle function. Collaboration with respiratory therapists is essential to monitor, prevent, and manage respiratory issues.
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