Exam 73: Management of Clients with Neurologic Trauma

Vital signs on a brain-injured client 1 hour ago were T 98.8° F, P 76, BP 124/72 . When the nurse takes a current set of vital signs that are T 98.4° F, P 56, BP 160/54, the nurse should

The nurse is caring for a spinal cord-injured client in outpatient rehabilitation and evaluates that goals for the diagnosis Anticipatory Grieving have been met when the client

Urinary complications can be prevented if the nurse adjusts the care plan to include

The client who is unconscious following a fall has a blood pressure of 90/60 mm Hg. The most appropriate action by the nurse is to

When the client being treated with a hypothermia blanket begins to shiver, the nurse should

The emergency department nurse should position the client with cranial injuries

The trauma nurse working in the emergency department is aware that caring for elderly clients who have head injuries differs from that given to the general population because (Select all that apply)

A client arrives in the emergency department after being involved in a motor vehicle accident; the client exhibits a complete loss of motor, sensory, autonomic, and reflex activity below the injury level. The nurse can determine if he is experiencing spinal shock by assessing