A nurse is caring for a patient who has suffered an unstable thoracolumbar fracture. Which of the following is the priority during nursing care?
A) Preventing infection
B) Maintaining spinal alignment
C) Maximizing function
D) Preventing increased intracranial pressure
Ans: B
Feedback:
Patients with an unstable fracture must have their spine in alignment at all times in order to prevent neurologic damage. This is a greater threat, and higher priority, than promoting function and preventing infection, even though these are both valid considerations. Increased ICP is not a high risk.
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The nurse is planning care for an older patient with hypertension who recently fell in the home. Which assessment would the nurse plan for this patient?
1. Check serum sodium levels. 2. Check serum creatinine levels. 3. Check postural blood pressures. 4. Check blood pressure every 2 hours.
A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the 4-month-old was exposed to a brother who has the flu.In this case the nurse will
1. withhold the vaccinations. 2. give the vaccinations as scheduled. 3. withhold the DTaP vaccination butgive the others as scheduled. 4. give the infant the flu vaccination butwithhold the others.
The older a client is, the better they will sleep
True False
A group of nursing students are reviewing information about the type of skin and skeletal traction. The students demonstrate understanding of this information when they identify which of these as a type of skeletal traction?
A) Russell traction B) Bryant traction C) Buck traction D) Side arm 90-90 traction