Question 1

The emergency room nurse is assessing a newly admitted patient with a head injury.The nurse observes clear drainage from the nose.Which action should the nurse perform first?

Accepted Answer

A)   Document the presence of rhinorrhea.
B)   Inform the physician of the assessment.
C)   Test the fluid with a Dextrostix.
D)   Tape a drip pad under the nose.E) None of the above
F) B) and C)

Question 2

The nurse is caring for a patient with (AD) .The nurse should assess the patient for which conditions or situations?

Accepted Answer

A)   Distended bladder
B)   Constipation
C)   Increased fluid intake
D)   Wrinkles in bed linens
E)   Abrupt environmental temperature changesF) A) and E)
G) A) and B)

Question 3

The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain.Which information should the nurse include?

Accepted Answer

A)   These injuries allow the brain to twist on the brainstem.
B)   These injuries cause the brain to move forward to strike the anterior interior skull.
C)   These injuries allow the brain to compress on itself.
D)   These injuries cause the brain to strike the bony area opposite of the site of impact.
E)   These injuries cause the brain to lose small amounts of cerebrospinal fluid.F) A) and B)
G) All of the above

Question 4

The nurse is caring for a patient with a complete transection of the cord at C7.The patient asks the nurse what functions he will be able to perform.The nurse responds that the patient will most likely be able to perform which activities?

Accepted Answer

A)   Transferring himself
B)   Dressing himself
C)   Using a wheelchair with standard hand rims
D)   Feeding himself
E)   Typing using all digitsF) A) and E)
G) B) and D)

Question 5

The nurse is caring for a patient with a closed head injury.Which finding causes the nurse to suspect that the patient has developed diabetes insipidus (DI) ?

Accepted Answer

A)   Increased lethargy
B)   Widening pulse pressure
C)   Copious pale urine output
D)   Increasing blood glucose levelsE) A) and B)
F) A) and C)

Question 6

Which position is best for an unconscious patient with a right-sided closed head injury?

Accepted Answer

A)   High Fowler
B)   Right side-lying
C)   Flat with small pillow under head
D)   Head of bed 20 to 30 degreesE) B) and D)
F) A) and B)

Question 7

The nurse is caring for a patient with a neurologic injury who is awake.On assessment,the patient displays mild disorientation to surroundings and time and needs additional verbal cues to stimulate response to commands.The nurse correctly documents the patient's level of consciousness (LOC) by using which term?

Accepted Answer

A)   Alert
B)   Confused
C)   Lethargic
D)   ObtundedE) All of the above
F) A) and D)

Exam 22: Care of Patients with Head and Spinal Cord Injuries

The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain.Which information should the nurse include?

Correct Answer
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Correct Answer
verified

The nurse is caring for a patient with (AD) .The nurse should assess the patient for which conditions or situations?

Correct Answer
verified

The nurse is caring for a patient with a closed head injury.Which finding causes the nurse to suspect that the patient has developed diabetes insipidus (DI) ?

Correct Answer
verified

The emergency room nurse is assessing a newly admitted patient with a head injury.The nurse observes clear drainage from the nose.Which action should the nurse perform first?

Correct Answer
verified

The nurse is caring for a patient with a complete transection of the cord at C7.The patient asks the nurse what functions he will be able to perform.The nurse responds that the patient will most likely be able to perform which activities?

Correct Answer
verified

Which position is best for an unconscious patient with a right-sided closed head injury?

Correct Answer
verified

Exam 22: Care of Patients with Head and Spinal Cord Injuries

The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain.Which information should the nurse include?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse is caring for a patient with (AD) .The nurse should assess the patient for which conditions or situations?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient with a closed head injury.Which finding causes the nurse to suspect that the patient has developed diabetes insipidus (DI) ?

Correct AnswerverifiedShow Answer

The emergency room nurse is assessing a newly admitted patient with a head injury.The nurse observes clear drainage from the nose.Which action should the nurse perform first?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient with a complete transection of the cord at C7.The patient asks the nurse what functions he will be able to perform.The nurse responds that the patient will most likely be able to perform which activities?

Correct AnswerverifiedShow Answer

Which position is best for an unconscious patient with a right-sided closed head injury?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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