What is the best nursing intervention for patients with spinal cord injury?
Move patient in a fast abrupt manner
Use neck brace or collar at patient's discretion
Reposition patient if spine is stable and as indicated by physician
All of the above
The Correct Answer is C
Choice A: Moving patient in a fast abrupt manner is incorrect because it can cause further damage to the spinal cord or other organs. It can also increase the risk of complications such as pressure ulcers, contractures, or fractures. The patient should be moved gently and carefully with proper alignment and support.
Choice B: Using neck brace or collar at patient's discretion is incorrect because it can cause skin irritation, infection, or pressure injuries. The neck brace or collar should be used only as prescribed by the physician and adjusted regularly to ensure a good fit and comfort.
Choice C: Repositioning patient if spine is stable and as indicated by physician is correct because it can prevent complications such as pressure ulcers, contractures, or respiratory infections. The patient should be repositioned every two hours or more frequently if needed, using pillows, wedges, or other devices to maintain proper alignment and relieve pressure.
Choice D: All of the above are incorrect because they do not follow the best practices for nursing intervention for patients with spinal cord injury. They can cause harm or discomfort to the patient and worsen their condition. The nurse should follow the physician's orders and the standards of care for spinal cord injury patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Object penetrates the brain or trauma is so severe that the scalp and skull are opened is correct because it is the definition of an open traumatic brain injury. An open traumatic brain injury occurs when a foreign object such as a bullet, knife, or bone fragment enters the brain or when a blunt force trauma such as a fall, collision, or assault causes a fracture or laceration of the skull. This can damage the brain tissue, blood vessels, and nerves and cause bleeding, swelling, or infection.
Choice B: Stress is incorrect because it is not a type of traumatic brain injury. Stress is a psychological or emotional response to a challenging or threatening situation. It can affect the brain function and health, but it does not cause physical damage to the brain tissue.
Choice C: Acceleration/deceleration injury occurs when the head accelerates and then rapidly decelerates, damaging brain tissue is incorrect because it is not an open traumatic brain injury. It is a type of closed traumatic brain injury, which occurs when the head moves violently without breaking the skull. This can cause the brain to hit against the inner wall of the skull or twist within the skull, resulting in bruising, tearing, or shearing of the brain tissue.
Choice D: All of the above are incorrect because only choice a) describes an open traumatic brain injury. Choices b) and c) are not related to an open traumatic brain injury and do not match its characteristics. The nurse should know the different types and causes of traumatic brain injury and their implications for assessment and care.
Correct Answer is D
Explanation
Choice A: Sepsis is a serious infection that occurs when the body's immune system overreacts to an injury or illness. It can cause organ failure and death. People with spinal cord injury are more prone to sepsis because they may have impaired bladder and bowel function, skin breakdown, or reduced sensation that can lead to infections.
Choice B: Pulmonary embolism is a blockage of an artery in the lungs by a blood clot. It can cause chest pain, shortness of breath, and death. People with spinal cord injury are more at risk of pulmonary embolism because they may have reduced mobility, blood circulation, or breathing capacity that can promote blood clot formation.
Choice C: Pneumonia is an inflammation of the lungs caused by bacteria, viruses, or fungi. It can cause fever, cough, and difficulty breathing. People with spinal cord injury are more susceptible to pneumonia because they may have weakened cough reflex, impaired lung function, or aspiration of food or saliva into the lungs.
Choice D: All of the above are major causes of death related to spinal cord injury. They can occur separately or together and can be prevented or treated with proper medical care and lifestyle modifications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.