The nurse caring for a patient in a persistent vegetative state is regularly assessing for potential complications. Complications of neurologic dysfunction for which the nurse should assess include which of the following? Select all that apply
A) Contractures
B) Hemorrhage
C) Pressure ulcers
D) Venous thromboembolism
E) Pneumonia
Ans: A, C, D, E
Feedback:
Based on the assessment data, potential complications may include respiratory distress or failure, pneumonia, aspiration, pressure ulcer, deep vein thrombosis (DVT), and contractures. The pathophysiology of decreased LOC does not normally create a heightened risk for hemorrhage.
You might also like to view...
Which of these terms describes an insufficient amount of oxygen in the blood?
a. acrocyanosis c. cyanosis b. anoxia d. hypoxemia
If a researcher used U.S. census data to examine the relationship between women's employment and childbearing, this would be an example of a:
A) Survey B) Needs assessment C) Secondary analysis D) Methodological study
The nurse who is working in a flu immunization clinic assesses for a situation with a patient that will require a postponement of immunization, such as:
a. history of asthma. b. taking herbal remedies such as valerian and ginkgo biloba. c. diabetes that is poorly controlled. d. having been given immune globulin 2 weeks ago.
The psychiatric-mental health nurse is employed in a community mental health center that uses a neurobiological theoretical perspective to guide treatment
The nurse understands that the neurobiological principle that supports the use of counseling and therapy is that these treatment modalities: A) Increase the client's capacity for self-discovery of unconscious personality components. B) Allow for reinforcement of desirable thoughts, feelings, and behaviors. C) Create changes through learning that in turn create changes in neuronal functioning. D) Encourage completion of developmental tasks that were not successfully completed earlier in life.