A client being treated for a spinal cord injury needs immediate ventilatory support. The nurse realizes that this client's level of injury is most likely:
1. C3.
2. C6.
3. T3.
4. L3.
1
High cervical injuries above C3 will result in loss of respiratory function and death unless ventilator support is immediately provided. Spinal cord injuries at C6, T3, or L3 do not need immediate ventilatory support.
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The nurse is providing care for a teenage mother expressing ambivalence about her new role as a parent. Which of the following responses by the nurse is best?
a. "Parenthood is certainly not for everyone, you shouldn't feel guilty about that." b. "I'll call the social worker so you can discuss adoption." c. "Tell me more about how you feel when you hold the baby." d. "I'm sure your own parents felt the same way when you were small, you should talk to your mom."
The nurse identifies developmental needs as priorities in which age range:
1. Neonate to preschool 2. Neonate to adulthood 3. Neonate to older adult 4. Neonate to adolescent
The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what mechanism?
A) Decreasing intestinal motility B) Absorbing toxins C) Binding with fecal material to increase bulk D) Blocking the chemoreceptor trigger zone (CTZ)
Before using any supplies labeled as "sterile," the nurse must FIRST do which of the following?
a. Charge the client for the item. b. Confirm that the procedure requires sterile supplies. c. Inform the client of the planned procedure. d. Verify that the package is intact and dry.