Exam 23: Care of Patients With Head and Spinal Cord Injuries

After an older adult falls,the nurse suspects the development of a subdural hematoma based on which assessment findings? (Select all that apply.)

The patient presents in the health clinic with low back pain that radiates into the buttocks and below the knee.The nurse suspects which condition?

To avoid stimulation of painful muscle spasms,the nurse will:

When turning the patient who is in Crutchfield tongs traction,the nurse will:

In assessing the patient with a significant right-sided closed head injury,the nurse would anticipate the patient to demonstrate which sign?

The nurse is aware that increasing intracranial pressure can cause _____________ of the brain,which results in the brain impinging on the brainstem.

The patient who suffered a spinal cord injury (SCI)3 days ago resulting in flaccid paralysis begins to flex his arm.The concerned family is instructed that this muscle activity may be related to:

The nurse describes a concussion as a closed head injury in which:

The anxious mother of an adolescent who sustained a spinal injury yesterday and has paralysis of the lower limbs asks if the paralysis is permanent.Which response by the nurse is most helpful?

The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain by: (Select all that apply.)

The nurse is evaluating the patient to determine if adequate learning has occurred regarding care of lower back pain.The nurse determines no further teaching is required when observing which patient activities? (Select all that apply.)

The emergency room nurse assessing clear drainage from the nose of a newly admitted patient with a head injury should perform which intervention?

In the event of autonomic dysreflexia (AD)in the patient with a spinal cord injury,the initial intervention should be to:

The patient with a suspected subdural hematoma is on an IV drip of mannitol infusing at 50 mL/hr.The nurse explains that the slow infusion rate is essential for what purpose?

The student nurse is planning care for a patient with a recent spinal cord injury.Which intervention indicates the need for further instruction regarding care of the patient with a spinal cord injury?

The most beneficial and safe positioning of an unconscious patient who has a right-sided closed head injury is:

The nurse is aware that the older adult is more at risk for a cranial bleed following a head injury because the older adult has:

The nurse caring for a patient with an epidural hematoma suspects diabetes insipidus when the patient exhibits increased:

The nurse documents all the signs of epidural hematoma in a patient with a closed head injury,which are: (Select all that apply.)

The unconscious patient with a closed head injury is on mechanical ventilation.To improve brain perfusion through increased blood pressure,the CO? level is maintained at _____ mm Hg.