The nurse is assessing a client with a spinal cord injury at the T5 level. Which clinical manifesta-tion alerts the nurse to the presence of a complication of this injury?
a. Rhinorrhea and epiphora
b. Fever and cough
c. Agitation and restlessness
d. Hip and knee pain
B
Clients with injuries at or above the T6 vertebra are especially at risk for respiratory complications caused by impaired intercostal muscles. The development of fever and cough should alert the nurse to the possibility of pneumonia. The other manifestations are not related to complications from this type of injury.
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Giving preference for health care to those who have the ability to pay is an example of disregarding which ethical principle?
a. Nonmaleficence c. Beneficence b. Justice d. Autonomy
When assessing the newborn's heart rate, which of the following ranges would be considered normal if the newborn were asleep?
a. 80 beats per minute. b. 100 beats per minute. c. 120 beats per minute. d. 140 beats per minute.
The nurse is caring for a client who has systemic lupus erythematosus. Which of the following is one of the recommended treatments for this and other autoimmune disorders? Select all answers that apply
A) Antihypertensives B) Corticosteroids C) Iron supplements D) Mild analgesics E) Sedatives F) Radiation
The nurse is researching nursing interventions appropriate for a particular nursing diagnosis. Which classification system should the nurse use when researching this information?
1. NIC 2. PES 3. NOC 4. NANDA