A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. Nursing care for this child includes (select all that apply)
a. Monitoring and maintaining systemic blood pressure
b. Administering corticosteroids
c. Minimizing environmental stimuli
d. Discussing long-term care issues with the family
e. Monitoring for respiratory complications
A, B, E
Feedback
Correct Spinal cord injury patients are physiologically labile, and close monitoring
is required. They may be unstable for the first few weeks after the injury.
Corticosteroids are administered to minimize the inflammation present
with the injury.
Incorrect Spinal cord injury is a catastrophic event. Discussion regarding long-term
care should be delayed until the child is stable.
You might also like to view...
A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel preparation will include polyethylene glycol electrolyte lavage prior to the procedure
The presence of what health problem would contraindicate the use of this form of bowel preparation? A) Inflammatory bowel disease B) Intestinal polyps C) Diverticulitis D) Colon cancer
The nurse is changing the ostomy appliance for a client with a new loop colostomy. Which action by the nurse is the most appropriate?
1. Remove the plastic bridge in order to create a tight fit with the ostomy appliance. 2. Cut two holes in the skin barrier for each loop. 3. Cut an opening in the skin barrier for only the afferent or proximal end of the stoma. 4. Place a piece of tissue or gauze over the stoma, and use a guide to measure the size of the stoma.
The nurse feels overwhelmed with her assignment for the day. Which strategy would likely be most helpful to this nurse at this time?
a. progressive muscle relaxation b. guided imagery c. removing self from stressors with a negative impact d. avoid perfectionism
Needs assessments often involve the use of:
A) Behavioral objectives B) Stopping rules C) Key informants D) Cost/benefit analyses