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NUR 417
NUR 417 Med Surg Final Exam Care of Adult II
Actual Questions and Answers – Concordia
University St. Paul
To prevent autonomic dysreflexia, which nursing action should the home
health nurse include in the plan of care for a patient who
has paraplegia at the T4 level? - ANS Assist to plan a prescribed bowel
program.
The nurse is admitting a patient who has a neck fracture at the C6 level to
the intensive care unit. Which finding on the nursing
assessment is congruent with neurogenic shock? - ANS Hypotension and
warm extremities
NUR 417
, 2
NUR 417
What should the nurse explain to the patient who has a T2 spinal cord
transection injury? - ANS Function of both arms should be maintained.
What should the nurse include in a rehabilitation plan as an appropriate goal
for a 30-yr-old patient with a C6 spinal cord injury? - ANS Propel a manual
wheelchair on a flat surface.
A patient with paraplegia resulting from a T9 spinal cord injury has a
neurogenic reflexic bladder. Which action should the nurse
include in the plan of care? - ANS Instruct the patient how to self-catheterize.
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the
nurse, "I want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse
appropriately take? - ANS Ask the patient to provide input for the plan of
care.
A 38-yr-old patient who has had a spinal cord injury returned home following
a stay in a rehabilitation facility. The home care
NUR 417
, 3
NUR 417
nurse notes the spouse is performing many of the activities that the patient
had been managing unassisted during rehabilitation.
What should the nurse identify as the most appropriate action at this phase
of rehabilitation? - ANS Develop a plan to increase the patient's
independence in consultation with the
patient and the spouse.
Which action should the nurse recognize has the highest priority for a patient
who was admitted 16 hours earlier with a C5 spinal
cord injury? - ANS Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort
and crackles. What initial intervention should the
nurse perform? - ANS Push upward on the epigastric area as the patient
coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal
ulcers. The patient tells the nurse, "I have a pounding
NUR 417
NUR 417
NUR 417 Med Surg Final Exam Care of Adult II
Actual Questions and Answers – Concordia
University St. Paul
To prevent autonomic dysreflexia, which nursing action should the home
health nurse include in the plan of care for a patient who
has paraplegia at the T4 level? - ANS Assist to plan a prescribed bowel
program.
The nurse is admitting a patient who has a neck fracture at the C6 level to
the intensive care unit. Which finding on the nursing
assessment is congruent with neurogenic shock? - ANS Hypotension and
warm extremities
NUR 417
, 2
NUR 417
What should the nurse explain to the patient who has a T2 spinal cord
transection injury? - ANS Function of both arms should be maintained.
What should the nurse include in a rehabilitation plan as an appropriate goal
for a 30-yr-old patient with a C6 spinal cord injury? - ANS Propel a manual
wheelchair on a flat surface.
A patient with paraplegia resulting from a T9 spinal cord injury has a
neurogenic reflexic bladder. Which action should the nurse
include in the plan of care? - ANS Instruct the patient how to self-catheterize.
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the
nurse, "I want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse
appropriately take? - ANS Ask the patient to provide input for the plan of
care.
A 38-yr-old patient who has had a spinal cord injury returned home following
a stay in a rehabilitation facility. The home care
NUR 417
, 3
NUR 417
nurse notes the spouse is performing many of the activities that the patient
had been managing unassisted during rehabilitation.
What should the nurse identify as the most appropriate action at this phase
of rehabilitation? - ANS Develop a plan to increase the patient's
independence in consultation with the
patient and the spouse.
Which action should the nurse recognize has the highest priority for a patient
who was admitted 16 hours earlier with a C5 spinal
cord injury? - ANS Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort
and crackles. What initial intervention should the
nurse perform? - ANS Push upward on the epigastric area as the patient
coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal
ulcers. The patient tells the nurse, "I have a pounding
NUR 417
