The nurse assesses a patient who experienced a spinal cord injury at the T5 level 24 hours ago. Assessment findings are:
Temp: 99.0°F
HR: 46 beats/min
BP: 78/52 mmHg
RR: 20 breaths/min
SaO2: 94% on 2L NC
Which of the following interventions should the nurse anticipate?

Suction the patient immediately.

NS at 25 cc/hr.

Raise the head of the bed.

Dopamine IV drip.

HR: 46 beats/min

Answer and Explanation

The Correct Answer is D

Choice A reason: Suctioning the patient immediately is not the appropriate intervention in this context. Suctioning can be necessary if the patient has secretions obstructing the airway, but it does not address the issues of bradycardia (low heart rate) and hypotension (low blood pressure) which are critical in a spinal cord injury.

Choice B reason: Administering normal saline (NS) at 25 cc/hr is not sufficient to address the patient's hypotension. In a patient with a spinal cord injury at the T5 level, hypotension is likely due to neurogenic shock, and more aggressive fluid resuscitation or pharmacological support is needed.

Choice C reason: Raising the head of the bed is not appropriate for managing the patient's condition. In fact, keeping the head elevated can worsen hypotension by reducing venous return to the heart. The focus should be on stabilizing blood pressure and heart rate.

Choice D reason: The correct intervention is starting a dopamine IV drip. Dopamine is a vasopressor that helps increase blood pressure and heart rate, which is crucial in managing neurogenic shock. By administering dopamine, the nurse can help stabilize the patient's cardiovascular status and improve perfusion to vital organs.

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Correct Answer is B

Explanation

Choice A reason: Inotropic drugs are used to improve the strength of the heart's contractions and support cardiac output in cases of heart failure or cardiogenic shock. While they may be used as supportive therapy in septic shock to maintain blood pressure and perfusion, they are not the primary treatment.

Choice B reason: Antibiotics are the primary and most crucial therapy for managing septic shock. Septic shock is caused by a severe infection that leads to systemic inflammation and organ dysfunction. Prompt administration of broad-spectrum antibiotics is essential to target the underlying infection and prevent the progression of septic shock. Antibiotic therapy is initiated as soon as possible, often after obtaining blood cultures to identify the causative pathogen.

Choice C reason: Antidysrhythmic drugs are used to manage abnormal heart rhythms, such as atrial fibrillation or ventricular tachycardia. They are not specific to the treatment of septic shock but may be used if the patient develops arrhythmias as a complication of the shock state.

Choice D reason: Beta blockers are used to manage hypertension and certain types of arrhythmias by reducing the heart rate and the workload on the heart. They are not typically used in the acute management of septic shock and may even be contraindicated due to their potential to decrease cardiac output.

A. Age B. Hypertension C. Obesity D. Smoking E. Stress

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

Explanation

Choice A reason: Age is a non-modifiable risk factor for coronary artery disease. While it is a significant risk factor, individuals cannot change their age. Modifiable risk factors are those that individuals can alter through lifestyle changes or medical interventions to reduce their risk of developing coronary artery disease.

Choice B reason: Hypertension, or high blood pressure, is a modifiable risk factor for coronary artery disease. By managing blood pressure through lifestyle changes, medications, and regular monitoring, individuals can reduce their risk of developing coronary artery disease. Effective management of hypertension includes reducing sodium intake, maintaining a healthy weight, exercising regularly, and taking prescribed medications.

Choice C reason: Obesity is a modifiable risk factor for coronary artery disease. Individuals can work towards achieving and maintaining a healthy weight through dietary changes, increased physical activity, and behavioral modifications. Losing weight can significantly lower the risk of coronary artery disease by improving blood pressure, cholesterol levels, and overall cardiovascular health.

Choice D reason: Smoking is a major modifiable risk factor for coronary artery disease. Quitting smoking can dramatically reduce the risk of developing coronary artery disease and other cardiovascular conditions. Smoking cessation programs, medications, and support groups can help individuals successfully quit smoking and improve their cardiovascular health.

Choice E reason: Stress is a modifiable risk factor for coronary artery disease. Chronic stress can contribute to the development of coronary artery disease by affecting blood pressure, cholesterol levels, and overall heart health. Managing stress through relaxation techniques, exercise, counseling, and mindfulness practices can help reduce the risk of coronary artery disease.

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The nurse assesses a patient who experienced a spinal cord injury at the T5 level 24 hours ago. Assessment findings are:Temp: 99.0°FHR: 46 beats/minBP: 78/52 mmHgRR: 20 breaths/minSaO2: 94% on 2L NCWhich of the following interventions should the nurse anticipate?

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Correct Answer is B

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The nurse assesses a patient who experienced a spinal cord injury at the T5 level 24 hours ago. Assessment findings are:
Temp: 99.0°F
HR: 46 beats/min
BP: 78/52 mmHg
RR: 20 breaths/min
SaO2: 94% on 2L NC
Which of the following interventions should the nurse anticipate?