Exam 29: Spinal Cord Injury

After a computed tomographic (CT)scan,the nurse will encourage the patient with a SCI to:

The nurse considering interventions for the outcome of prevention of contractures in a patient with a SCI will include which one of the following in the nursing care plan?

When the nurse recognizes autonomic dysreflexia in the patient with a SCI,the immediate intervention should be to:

Which assessment would indicate the resolution of spinal shock?

The family of a patient with an SCI at C4 asks whether the patient will ever be free of the ventilator.The nurse's best response is:

When recording the findings of muscle strength,the nurse records a "2" for the right arm.This means that the muscles of the arm show:

The patient with a SCI begins to have seizures,and the blood pressure (BP)rises rapidly to 210/160 mm Hg.Which is the third indicator of the dreaded syndrome of autonomic dysreflexia?

Before taking a magnetic resonance image (MRI),the patient asks why metal objects and the MRI machine are such concerns.The nurse's best explanation is that the MRI machine will:

Which intervention by the nurse would be effective in the prevention of autonomic dysreflexia in the patient with a SCI?

The family of a patient with a SCI is concerned with the lack of bowel function 2 days after the injury.The nurse's best response would be:

Which level of independence is an appropriate nursing care plan goal for a patient with a C8 transection?

The nurse explains that the spinal cord extends from the brainstem to the level of which vertebra?

A paraplegic patient excitedly reports seeing his foot move when he was being turned.This phenomenon is best explained as a(n):

Which technique of opening the airway in the newly admitted patient with a SCI is the most appropriate?

The nurse reminds the patient that successful rehabilitation of individuals with SCIs has been enhanced over the last 10 years by the advent of new:

The family members of a patient with a SCI,who is in the rehabilitation phase,want to take the patient outdoors for a visit.Because it is 90° outside and very humid,the nurse will suggest that they:

The assessment that ensures the emergency department nurse that a patient's spinal cord injury (SCI)is below C4 is:

To avoid stimulating a muscle spasm,the nurse will move the impaired legs of a patient with a SCI by:

The nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier.The nurse should:

Which statement made by a male patient with a SCI could be assessed as a positive adaptation to the nursing diagnosis of "Sexual dysfunction,related to altered body function?"