A client who experienced a spinal cord injury 1 hour ago is brought to the emergency depart-ment. Which prescribed medication does the nurse prepare to administer to this client?
a. Intrathecal baclofen (Lioresal)
b. Methylprednisolone (Medrol)
c. Atropine sulfate
d. Epinephrine (Adrenalin)
B
Methylprednisolone (Medrol) should be given within 8 hours of the injury. Clients who receive this therapy usually show improvement in motor and sensory function. The other medications are inappropriate for the client.
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An emergency room nurse is caring for a trauma client. Which interventions should the nurse perform during the primary survey? (Select all that apply.)
a. Foley catheterization b. Needle decompression c. Initiating IV fluids d. Splinting open fractures e. Endotracheal intubation f. Removing wet clothing g. Laceration repair
What are the three signs of Cushing response? (Select all that apply.)
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A patient with a history of chronic venous insufficiency is being seen in the emergency department complaining of pain and swelling in his right lower leg that began the previous night, along with fever, chills, and sweating
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When assessing the patient with liver dysfunction for jaundice, the nurse will assess the patient's:
A) Skin, nail beds, and body temperature B) Skin, mucosa, and sclera C) Mucosa, hair, and nail beds D) Sclera, lips, and hair