Chapter 68: Management Of Patients With Neurologic Trauma 5

25 July 2022
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Spasticity
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Which term refers to muscular hypertonicity in a weak muscle, with increased resistance to stretch?
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C5
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A client with a spinal cord injury has full head and neck control when the injury is at which level?
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It results from inadequate delivery of nutrients and oxygen to the cells.
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The nurse working on a neurological unit is mentoring a nursing student who asks about a client who has sustained primary and secondary brain injuries. The nurse correctly tells the student which of the following, related to the secondary injury?
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Pulse and blood pressure
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The nurse is caring for a client immediately after a spinal cord injury. Which assessment finding is essential when caring for a client in spinal shock with injury in the lower thoracic region?
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Widened pulse pressure
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Which finding indicates increasing intracranial pressure (ICP) in the client who has sustained a head injury?
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Young age Alcohol use Drug abuse
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Which are risk factors for spinal cord injury (SCI)? Select all that apply.
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Temperature increase from 98.0°F to 99.6°F
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The nurse is caring for a client with traumatic brain injury (TBI). Which clinical finding, observed during the reassessment of the client, causes the nurse the most concern?
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Irrigates the wound to remove debris
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A patient comes to the emergency department with a large scalp laceration after being struck in the head with a glass bottle. After assessment of the patient, what does the nurse do before the physician sutures the wound?
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Because hypoxemia can create or worsen a neurologic deficit of the spinal cord
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For a patient with an SCI, why is it beneficial to administer oxygen to maintain a high partial pressure of oxygen (PaO2)?
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"I can apply powder under the liner to help with sweating."
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The nurse is caring for a client following a spinal cord injury who has a halo device in place. The client is preparing for discharge. Which statement by the client indicates the need for further instruction?