Which is a priority nonoperative treatment following a spinal cord injury?
Cervical Traction
Spinal Fusion
Stabilization
Pain Management
The Correct Answer is C
A. Cervical traction is a method used to help achieve spinal stabilization, but it is a technique rather than the overarching priority.
B. Spinal fusion is a surgical (operative) treatment and therefore not considered a nonoperative approach.
C. Stabilization is the priority nonoperative treatment to prevent further injury to the spinal cord and surrounding structures. It may involve immobilization with collars, braces, or traction.
D. Pain management is important for comfort but is not the immediate priority when spinal cord stability and neurologic function are at risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cervical traction is a method used to help achieve spinal stabilization, but it is a technique rather than the overarching priority.
B. Spinal fusion is a surgical (operative) treatment and therefore not considered a nonoperative approach.
C. Stabilization is the priority nonoperative treatment to prevent further injury to the spinal cord and surrounding structures. It may involve immobilization with collars, braces, or traction.
D. Pain management is important for comfort but is not the immediate priority when spinal cord stability and neurologic function are at risk.
Correct Answer is A
Explanation
A. Mannitol is an osmotic diuretic that pulls fluid from brain tissue into the vascular space, which can lead to fluid overload and pulmonary edema. Crackles on auscultation may indicate this complication and should be assessed.
B. While peripheral edema may occur with fluid overload, crackles are a more immediate and concerning sign of pulmonary congestion related to mannitol.
C. An increase in Glasgow Coma Scale score indicates improvement in neurologic function, not a complication.
D. Increased urine output is an expected effect of mannitol; it helps reduce ICP by promoting diuresis.
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