A client experiencing tetraplegia is in the emergency department. The nurse has started an IV line, and anticipates administering:
1. pain medication.
2. a high dose of Solu-Medrol.
3. antibiotics.
4. anti-anxiety agents.
Answer: 2
1. The client with tetraplegia does not have feeling below the level of the injury, so pain medication is not a priority.
2. Solu-Medrol is given in large doses because the body's inflammatory response to the injury could cause more damage to the spinal cord.
3. Antibiotics are not routinely given unless there are wounds that are open and filled with dirt and pebbles.
4. Anti-anxiety agents might be given after the client leaves the emergency department, but along with pain medications, these medications can affect the respiratory system and make neurological assessment difficult.
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