On admission to the ER, the patient with a compression fracture at C5 can move only his head and has flaccid paralysis of all extremities. The distraught family asks if the paralysis is permanent. The nurse's best response would be:
1. "Yes. In all likelihood, the paralysis is probably permanent."
2. "No. There should be marked recovery of function in a few days."
3. "It is too early to tell. When spinal shock subsides, we will know more."
4. "You should talk to your doctor about things of that nature."
3
Spinal shock due to swelling may last from a few days to months, clouding the issue of the true extent of the injury.
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The mother of a preschool-age child is pregnant and wants to enroll the child in a child care program. When should the nurse suggest that the child be enrolled in this program?
A) By 4 years of age regardless of the pregnancy B) Now after explaining that the new sibling will take up the mother's time C) Three months before the baby is born, after the mother stresses that he is growing up D) Immediately after the baby is born so that the child will feel less jealous and more secure
What information does the faculty member teach students about Medicare?
a. Covers anyone with end stage renal dis-ease b. Part A covers some prescription costs c. Part B covers inpatient hospital costs d. Part D eliminates the drug "donut hole"
The nurse is caring for an adolescent client who has experienced trauma to his spleen that requires its removal
When discussing the proposed surgery with the client's parents, the nurse shares with them that the spleen: Select all that apply. 1. Is found in the left upper abdominal quadrant. 2. Destroys aged red blood cells. 3. Acts as a blood filtration system. 4. Has a minimal vascular system. 5. Is involved in the return of bile to the liver.
A nurse is conducting an admission assessment on a 67-year-old man with an intractable oral infection. The patient tells the nurse that he cannot smell things as well as he once could. What should the nurse do?
A) Chart the information in the medical record B) Conduct olfaction tests C) Notify the physician immediately D) Verify the patient's ability to taste all flavors