An emergency department nurse is admitting a client brought in by the paramedics after falling from a tree stand. The client has fractured vertebrae at T3 and T4 . The nurse knows the client is in the acute phase of neurologic deficit
What should the nurse know about the medical management of this client? A) Goal is to keep the client stable and prevent or treat complications, such as pneumonia, and further neurologic impairment.
B) Goal is to plan a rehabilitation program in several domains according to the client's abilities and limitations.
C) Goal is to admit the client to a hospital for treatment of complications.
D) Goal is to stabilize the client and prevent further neurologic damage.
D
Feedback:
The focus of management during the acute phase is to stabilize the client and prevent further neurologic damage. The client with a CVA may require management of hypertension or hypotension through drug therapy. The client with a head or spinal cord injury may require respiratory support through mechanical ventilation or surgical intervention to stabilize the injured area or remove bone fragments, blood clots, or foreign objects. Sometimes, surgery is postponed until the client is stabilized and the acute phase has passed. In other instances, surgery is performed during the acute phase as a lifesaving measure. Option A is the aim of medical management of the recovery phase; Options B and C are nursing goals, not medical goals for different phases of neurologic deficit.
You might also like to view...
The vice president for nursing services of a large teaching hospital has been aware that many of the problems in the nursing staff result from poor management at the unit level
What are reasons that nurse managers are sometimes ineffective in their role? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is little training available for nurse management positions. 2. Entry-level educational programs for nurses do not contain sufficient managerial content. 3. Management techniques are often learned "on the job." 4. Nurses are not good managers. 5. Nurses often experience poor supervision in their own careers.
The physician orders 100 mL lactated Ringer solution to be infused at 20 gtt/min. The administration set delivers 60 gtt/mL. How long will it take to infuse the IV? _______________
a. 3 hr and 30 min b. 5 hr c. 4 hr d. 1 hr and 45 min
The nurse is providing care to a client requiring restraints. How often does the nurse assess the client and document the assessment?
1. Once per shift 2. Once a day 3. Once every 4-6 hours 4. Once every 1-2 hours
The psychiatric–mental health nurse is working with the new graduate nurse who is orienting to the psychiatric unit. Which comment by the new graduate indicates further clarification of the generalist-nursing role is needed?
1. "I would feel better if you would look at my documentation that addresses progress toward treatment goals." 2. "I will spend time each day evaluating the effectiveness of the therapeutic milieu." 3. "I am a little nervous about conducting psychotherapy with clients." 4. "I am doing some reading on how to incorporate complementary interventions into treatment plans."