Exam 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems

A patient with a T1 spinal cord injury is admitted to the intensive care unit. The nurse will teach the patient and family that

Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia in order to prevent autonomic dysreflexia?

In which order will the nurse perform the following actions when caring for a patient with possible C6 spinal cord trauma who is admitted to the emergency department? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ A) Infuse normal saline at 150 mL/hr. B) Monitor cardiac rhythm and blood pressure. C) Administer O₂ using a non-rebreather mask. D) Transfer the patient to radiology for spinal computed tomography ( CT ). E) Immobilize the patient's head, neck, and spine.

A patient admitted to the emergency department is diagnosed with botulism, and an order for botulinum antitoxin is received. Before administering the antitoxin, it is most important for the nurse to

Which action will the nurse include in the plan of care when caring for a patient who is experiencing trigeminal neuralgia?

When teaching patients who are at risk for Bell's palsy because of previous herpes simplex infection, which information should the nurse include?

A 26-year-old patient with a T₃ spinal cord injury asks the nurse about whether he will be able to be sexually active. Which initial response by the nurse is best?

A patient who sustained a spinal cord injury a week ago becomes angry, telling the nurse "I want to be transferred to a hospital where the nurses know what they are doing!" Which reaction by the nurse is best?

A 24-year-old patient is hospitalized with the onset of Guillain-Barré syndrome. During this phase of the patient's illness, the most essential assessment for the nurse to carry out is

When evaluating a patient with trigeminal neuralgia who has had a glycerol rhizotomy, the nurse will

A patient has an incomplete right spinal cord lesion at the level of T7, resulting in Brown-Séquard syndrome. Which nursing action should be included in the plan of care?

When caring for a patient who has Guillain-Barré syndrome, which assessment data obtained by the nurse will require the most immediate action?

A patient who has numbness and weakness of both feet is hospitalized with Guillain-Barré syndrome. The nurse will anticipate the need to teach the patient about

When caring for a patient who had a C8 spinal cord injury 10 days ago and has a weak cough effort and loose-sounding secretions, the initial intervention by the nurse should be to

When caring for a patient who was admitted 24 hours previously with a C5 spinal cord injury, which nursing action has the highest priority?

A patient with paraplegia resulting from a T10 spinal cord injury has a neurogenic reflex bladder. Which action will the nurse include in the plan of care?

To evaluate the effectiveness of IV methylprednisolone (Solu-Medrol) given to a patient with a T₄ spinal cord injury, which information is most important for the nurse to obtain?

The nurse is assessing a patient who is being evaluated for a possible spinal cord tumor. Which finding by the nurse requires the most immediate action?

A patient with a history of a T2 spinal cord injury tells the nurse, "I feel awful today. My head is throbbing, and I feel sick to my stomach." Which action should the nurse take first?

Which action should the nurse take when assessing a patient with trigeminal neuralgia?