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 D
Explanation
Choice A: Antihypertensive medication lowers blood pressure, which reduces the risk of stroke caused by high blood pressure or hypertension.
Choice B: Anti-cholesterol medication lowers the level of cholesterol in the blood, which reduces the risk of stroke caused by atherosclerosis or plaque buildup in the arteries.
Choice C: Antiplatelet medication prevents blood clots from forming, which reduces the risk of stroke caused by ischemia or blockage of blood flow to the brain.
Choice D: All of the above medications are used to treat and prevent strokes, as they address different risk factors and causes of stroke.
Correct Answer is D
Explanation
Choice A: Flaccidity is not an early sign of intracranial pressure, but rather a late sign of brainstem compression or damage.
Choice B: Projectile vomiting is not an early sign of intracranial pressure, but rather a sign of increased pressure in the posterior fossa or cerebellum.
Choice C: Stupor is not an early sign of intracranial pressure, but rather a sign of severe impairment of consciousness or coma.
Choice D: Changes in level of consciousness is an early sign of intracranial pressure, as it reflects the brain's response to decreased oxygen and increased pressure.
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