A patient is admitted to the neurologic ICU with a spinal cord injury. When assessing the patient the nurse notes there is a sudden depression of reflex activity in the spinal cord below the level of injury. What should the nurse suspect?
A) Epidural hemorrhage
B) Hypertensive emergency
C) Spinal shock
D) Hypovolemia
Ans: C
Feedback:
In spinal shock, the reflexes are absent, BP and heart rate fall, and respiratory failure can occur. Hypovolemia, hemorrhage, and hypertension do not cause this sudden change in neurologic function.
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A child is receiving hemodialysis. The parents ask why hypotension is a possible complication. Which response by the nurse is the most appropriate?
A. "It could be from the anticoagulant we use." B. "Kidney disease can often cause hypotension." C. "The treatment is removing fluid from his body." D. "Your child is critically ill and is unstable."
Nurses are empowered by:
a. the media recognizing them as a powerful group b. taking ownership of their problems in serving patients c. their collective gender force d. self-decision-making
Digoxin-induced dysrhythmias can be treated with:
a. quinidine. b. bretylium. c. phenytoin. d. diltiazem.
List three ways in which the nursing assistant can avoid liability for incidents in the home.
What will be an ideal response?