You suspect that a newly admitted client is in spinal shock. What are the symptoms of spinal shock? Select all that apply
A) Bladder distention
B) Poikilothermia
C) Loss of hunger sensation
D) Circulatory failure
E) No perspiration below the level of the injury
A, B, E
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In addition to paralysis, manifestations include pronounced hypotension, bradycardia, and warm, dry skin. If the level of injury is in the cervical or upper thoracic region, respiratory failure can occur. Bowel and bladder distention develop. The client does not perspire below the level of injury, which impairs temperature control. The client manifests with poikilothermia, body temperature of the environment. Symptoms of spinal shock do not include loss of hunger sensation or circulatory failure.
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A. Hypertensive crisis B. Syncope C. Muscle spasms D. Increased depression
What should the nurse teach the family of an older patient with Alzheimer's disease to help with spatial disorientation? Select all that apply.
1. Use color to contrast objects and items. 2. Keep furniture in the same familiar place. 3. Fill the patient's room with memorabilia. 4. Remove cues for exiting the home away from the doors. 5. Place family photos or recognizable familiar items in a prominent spot.
An individual arrives at the emergency department with injuries sustained in a natural gas explosion. The patient is unable to respond to questions and keeps repeating "I can't hear." For what should the nurse assess this patient?
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An elderly client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which of the following can the nurse do to assist this client?
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