Which assessment leads the emergency department nurse to suspect that a patient's spinal cord injury (SCI) is below C4?
a. Voluntary eye movement
b. Ability to blink the eyelids
c. Unlabored respiration
d. Ability to make a facial grimace
C
The phrenic nerve, which is at C1 to C4, controls the diaphragm and intercostal function for ven-tilation.
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A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?
a. "I'll get you some aspirin to relieve the cramping that you feel." b. "Afterpains are more intense with your first baby." c. "Breastfeeding releases a hormone that causes your uterus to contract." d. "A change of position when you're breastfeeding might help."
The nurse takes into consideration that age-related changes can affect the peripheral circulation because of:
a. sclerosed blood vessels. b. hypotension. c. inactivity. d. poor nutrition.
The nurse is preparing to admit a 6-month-old infant with increased intracranial pressure (ICP). What clinical manifestations should the nurse expect to observe in this infant? (Select all that apply.)
a. High-pitched cry b. Poor feeding c. Setting-sun sign d. Sunken fontanel e. Distended scalp veins f. Decreased head circumference
A patient is diagnosed with severe depression. The nurse will prepare a plan to teach the patient about medications that improve brain availability of which neurotransmitter? Select all that apply
a. Serotonin b. Dopamine c. Norepinephrine d. Acetylcholine e. Substance P