Neuro Quiz 1 Study Guide Test.

Neuro Quiz 1 Study Guide Test. A nurse is caring for a client with a spinal cord injury during the immediate post injury period. What is the primary focus of nursing care during this immediate phase - CORRECT ANSWER Avoid flexion or hyper extension of the spine A client in the ICU after sustaining a T2 spinal cord injury, which priority intervention should the nurse include in the clients plan of care - CORRECT ANSWER Assess for respiratory complications, monitoring and maintaining blood pressure Which clinical indicator does the nurse expect to identify when assessing a client admitted with a herniated lumbar disc. - CORRECT ANSWER Pain radiating to the hip and leg A nurse expects a client with a herniated intervertebral disk to report a sudden increase in pain with which activities - CORRECT ANSWER Coughing/sneezing, straining when having a BM For which clinical indicator should the nurse assess a client who just had a microdiskectomy for a herniated lumbar disk - CORRECT ANSWER Sensory loss in legs What should the nurse include in the plan of care for a client who just had a posterior lumbar laminectomy - CORRECT ANSWER Reposition the client by log rolling What does the nurse do for a client with a cervical laminectomy that differs from nursing care for a client with a lumbar lami? - CORRECT ANSWER Assist with the removal of oral secretions A nurse finds a victim under the wreckage of a collapsed building, the individual is conscious, supine, breathing satisfactorily and reporting back pain and the inability to move the legs, what action should the nurse take first - CORRECT ANSWER Leave the individual lying on the back with instructions not to move and seek additional help After a client is treated for a spinal cord injury the health care provider informs the family that the client is a paraplegic. The family asks what this means, what explanation should the nurse provide - CORRECT ANSWER Lower extremities are paralyzed