A patient has an incomplete left spinal cord lesion at the level of T7, resulting in Brown-Séquard syndrome. Which nursing action should be included in the plan of care?
a. Assessment of the patient for right arm weakness
b. Assessment of the patient for increased right leg pain
c. Positioning the patient's left leg when turning the patient
d. Teaching the patient to look at the right leg to verify its position
ANS: C
The patient with Brown-Séquard syndrome has loss of motor function on the ipsilateral side and will require the nurse to move the left leg. Pain sensation will be lost on the patient's right leg. Arm weakness will not be a problem for a patient with a T7 injury. The patient will retain position sense for the right leg.
You might also like to view...
The document in which the role and responsibilities of the LPN/LVN are identified is the:
a. NLN Accreditation Standards. b. Nurse Practice Act. c. NAPNE Code. d. American Nurses' Association Code.
An older patient has sensorineural hearing loss. Which health problems should the nurse recognize as causing this type of hearing loss? Standard Text: Select all that apply
1. Presbycusis 2. Meniere's disease 3. Impacted cerumen 4. Otitis media infection 5. Tympanic membrane perforation
A patient who is agoraphobic is diagnosed with a vitamin D deficiency. What would be an appropriate recommendation by the nurse?
A) Spend time outdoors B) Start a garden C) Sit under an ultraviolet light each day D) Buy a sunlamp
The nurse is planning interventions for a client with xerostomia. What will the nurse include in the client's plan of care? Select all that apply.
1. Use a mouth rinse. 2. Avoid artificial lubricants. 3. Place a humidifier next to the bed. 4. Avoid foods that are difficult to chew or swallow. 5. Use sugar-free chewing gum, hard candies, and mints.