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Caring for Clients With Head and Spinal Cord Trauma

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Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Caring for Clients With Head and Spinal Cord Trauma

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Self Paced

Question 1 of 5

The nurse is caring for a client with a spinal cord injury. What test reveals the level of spinal cord injury?

A. Radiography

B. Myelography

C. Neurologic examination

D. Computed tomography (CT) scan

Correct Answer:

Rationale:

Question 2 of 5

The nursing instructor is teaching about hematomas to a pre-nursing pathophysiology class. What would the nursing instructor describe as an arterial bleed with rapid neurologic deterioration?

A. Extradural hematoma

B. Epidural hematoma

C. Subdural hematoma

D. Intracranial hematoma

Correct Answer:

Rationale:

Question 3 of 5

The nurse is caring for a client with a head injury after a fall. Which of the following indicates the presence of, or leaking of, cerebral spinal fluid?

A. Change in the level of consciousness (LOC)

B. Signs of increased intracranial pressure (IICP)

C. Halo sign

D. Swelling

Correct Answer:

Rationale:

Question 4 of 5

The nurse is admitting a client from the emergency department with a reported spinal cord injury. What device would the nurse expect to be used to provide correct vertebral alignment and to increase the space between the vertebrae in a client with spinal cord injury?

A. Cervical collar

B. Cast

C. Traction with weights and pulleys

D. Turning frame

Correct Answer:

Rationale:

Question 5 of 5

The nurse is caring for a client with impaired physical mobility who has been hospitalized. What nursing intervention helps reduce the potential for formation of thrombi and renal calculi in this client?

A. Provide a well-balanced diet.

B. Position the client.

C. Keep the client hydrated.

D. Help the client perform exercises.

Correct Answer:

Rationale:

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