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

A patient admitted with dermal ulcers who has a history of a T₃ spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?

A patient with neurogenic shock following a spinal cord injury is to receive lactated Ringer's solution 500 mL over 30 minutes.When setting the IV pump to deliver the IV fluid,the nurse will set the rate at how many mL/hour?

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?

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

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

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

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

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?

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

The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell's palsy.Which information should the nurse include in teaching the patient?

In which order will the nurse perform the following actions when caring for a patient with possible C5 spinal cord trauma who is admitted to the emergency department? (Put a comma and a space between each answer choice [A,B,C,D,E].) A) Infuse normal saline at 150 mL/hr. B) Monitor cardiac rhythm and blood pressure. C) Administer O₂ using a non-rebreather mask. D) Immobilize the patient's head, neck, and spine. E) Transfer the patient to radiology for spinal computed tomography (CT).

Which action will the nurse take when caring for a 46-year-old patient who develops tetanus from an injectable substance use?

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

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 ?

The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit.Which assessment finding(s)indicate(s)neurogenic shock?

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

Following a cauda equina spinal cord injury,which action will the nurse include in the plan of care?

A 27-year-old patient is hospitalized with new onset of Guillain-Barré syndrome.The most essential assessment for the nurse to carry out is

A 38-year-old patient has returned home following rehabilitation for a spinal cord injury.The home care nurse notes that the spouse is performing many of the activities that the patient had been managing unassisted during rehabilitation.The most appropriate action by the nurse at this time is to

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)?