Exam 57: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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Which of these nursing actions for a 64-year-old patient with Guillain-Barré syndrome is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)?

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D

A 39-year-old patient is being evaluated for a possible spinal cord tumor.Which finding by the nurse requires the most immediate action?

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A

Which action will the nurse include in the plan of care for a 62-year-old patient who is experiencing pain from trigeminal neuralgia?

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A

A 68-year-old patient hospitalized with a new diagnosis of Guillain-Barré syndrome has numbness and weakness of both feet.The nurse will anticipate teaching the patient about

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When evaluating outcomes of a glycerol rhizotomy for a patient with trigeminal neuralgia,the nurse will

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A 20-year-old patient who sustained a T2 spinal cord injury 10 days ago angrily tells the nurse "I want to be transferred to a hospital where the nurses know what they are doing!" Which action by the nurse is best?

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A 32-year-old pregnant patient with Bell's palsy refuses to eat while others are present because of embarrassment about drooling.The best response by the nurse is to

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The nurse will explain to the patient who has a T? spinal cord transection injury that

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When caring for a patient who experienced a T2 spinal cord transection 24 hours ago,which collaborative and nursing actions will the nurse include in the plan of care (select all that apply)?

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A construction worker arrives at an urgent care center with a deep puncture wound after an old nail penetrated his boot.The patient reports having had a tetanus booster 6 years ago.The nurse will anticipate

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

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A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder.Which action will the nurse include in the plan of care?

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A 33-year-old patient with a T4 spinal cord injury asks the nurse whether he will be able to be sexually active.Which initial response by the nurse is best?

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Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia at the T4 level in order to prevent autonomic dysreflexia?

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When the nurse is developing a rehabilitation plan for a 30-year-old patient with a C6 spinal cord injury,an appropriate goal is that the patient will be able to

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Which assessment data for a patient who has Guillain-Barré syndrome will require the nurse's most immediate action?

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Which nursing action has the highest priority for a patient who was admitted 16 hours previously with a C5 spinal cord injury?

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Before administering botulinum antitoxin to a patient in the emergency department,it is most important for the nurse to

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A patient who had a C7 spinal cord injury a week ago has a weak cough effort and audible rhonchi.The initial intervention by the nurse should be to

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A patient is admitted with possible botulism poisoning after eating home-canned green beans.Which intervention ordered by health care provider will the nurse question?

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