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?

Falls

Sporting accidents

Motor vehicle accidents

Gunshot wounds

Answer and Explanation

The Correct Answer is A

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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Correct Answer is C

Explanation

A. Migraine history does not increase the risk of bleeding or hematoma formation following head trauma.
B. Antihypertensive medications manage blood pressure but do not directly increase the risk of bleeding into the brain.
C. Older adults, especially those on anticoagulants, are at higher risk of developing subdural hematomas due to increased cerebral atrophy and impaired clotting, which makes even minor head trauma potentially life-threatening.
D. While concussions are concerning, a young, otherwise healthy individual is at lower risk of developing a subdural hematoma compared to an elderly patient on anticoagulants.

A. Administer PRN analgesic medication B. Lower the head of the bed C. Palpate the client's bladder D. Administer PRN antihypertensive medication

Correct Answer is C

Explanation

A. Analgesics address pain but do not treat the underlying cause of symptoms.
B. Lowering the head of the bed can increase intracranial pressure and worsen hypertension in autonomic dysreflexia.
C. Bladder distention is a common trigger of autonomic dysreflexia; assessing and relieving bladder distention is the priority intervention.
D. Antihypertensive medication may be necessary but only after removing the triggering cause to avoid sudden drops in blood pressure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient is the nurse most concerned with developing a subdural hematoma following an injury that resulted with a blow to the head?

Correct Answer is C

Explanation

A client with a C3 spinal cord injury has a headache and nausea. The client's blood pressure is 170/100 mm Hg. How should the nurse respond initially?

Correct Answer is C

Explanation

To prevent the leading cause of death for clients with spinal cord injury, collaboration with which member of the interprofessional health care team is a nursing priority?

Which term would the nurse use to document a patient who is comatose from a head injury and displays flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

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

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.)

For the patient with a closed head injury from a blunt object, which assessment would the nurse perform as the most reliable clinical indication of a patient's development of an increased intracranial pressure (ICP)?

The nurse is caring for a client with a traumatic brain injury following a motor vehicle collision. The client is completely unresponsive to verbal or physical stimuli and does not open the eyes. Which prescription should the nurse clarify with the health care provider?

Which position would the nurse utilize when repositioning a patient who has an increased intracranial pressure (ICP)?

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?