The nurse is caring for a patient who has presented to the emergency department with back pain. The most appropriate diagnostic test to detect degenerative disk or disk protrusions is:
A) Myelogram
B) Bone scan
C) Epidural venogram
D) Electromyogram
Ans: A
Feedback: The most appropriate diagnostic test to detect degenerative disk or disk protrusions is the myelogram.
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Jerry, a patient with a T3-4 spinal cord injury (SCI), is in the ICU. Shortly after his bath, the nurse notes that he is hypertensive, flushed, and complains of a severe headache. The nurse should
A) do nothing, this response will pass. B) lower the head of the bed and notify the physician. C) raise the head of the bed, check the bladder drainage system, and check for a bowel impaction. D) increase the IV fluid rate and clamp the urinary catheter.
Which of the following conditions promote a therapeutic community? (Select all that apply.)
1. The unit schedule includes unlimited free time for personal reflection. 2. Unit responsibilities are assigned according to client capabilities. 3. A flexible schedule is determined by client needs. 4. The individual is the sole focus of therapy. 5. A democratic form of government exists.
A client who is in the office for an annual assessment complains to the nurse that his eyes are very dry and itchy, which makes wearing contact lenses difficult. The nurse suspects that the client is experiencing a problem with:
1. the iris of the eye. 2. the lacrimal apparatus. 3. the eye muscles. 4. the eyelids.
The nurse is planning the care of a patient with a T1 spinal cord injury. The nurse has identified the diagnosis of "risk for impaired skin integrity." How can the nurse best address this risk?
A) Change the patient's position frequently. B) Provide a high-protein diet. C) Provide light massage at least daily. D) Teach the patient deep breathing and coughing exercises.