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The Client Is Brought to the Emergency Department After Falling

Question 6

Multiple Choice

The client is brought to the emergency department after falling off a roof and landing on his back.  A T1 spinal fracture is diagnosed.  The client's blood pressure is 74/40 mm Hg, pulse is 50/min, and skin is pink and dry.  What nursing action is a priority?


A) Administer IV normal saline
B) Determine if urinary occult blood is present
C) Perform a neurological assessment
D) Verify that there is no stool impaction

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