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NUR 417 Med Surg Final Exam Questions and Answers with
100% Complete Solutions UPDATED!!!
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? - ANSWER 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? - ANSWER
Hypotension and warm extremities
What should the nurse explain to the patient who has a T2
spinal cord transection injury? - ANSWER 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? - ANSWER Propel a manual wheelchair on a flat surface.
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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? - ANSWER 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? - ANSWER 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
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? - ANSWER Develop a plan to
increase the patient's independence in consultation with the
patient and the spouse.
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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? - ANSWER 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? - ANSWER 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
headache and I feel sick to my stomach." Which action should
the nurse take first? - ANSWER Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be
able to be sexually active. Which information should the nurse
include in an initial response? - ANSWER Multiple options are
available to maintain sexuality after spinal cord injury.
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NUR 417 Med Surg Final Exam Questions and Answers with
100% Complete Solutions UPDATED!!!
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? - ANSWER 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? - ANSWER
Hypotension and warm extremities
What should the nurse explain to the patient who has a T2
spinal cord transection injury? - ANSWER 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? - ANSWER Propel a manual wheelchair on a flat surface.
1|Page
,2|Page
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? - ANSWER 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? - ANSWER 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
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? - ANSWER Develop a plan to
increase the patient's independence in consultation with the
patient and the spouse.
2|Page
, 3|Page
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? - ANSWER 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? - ANSWER 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
headache and I feel sick to my stomach." Which action should
the nurse take first? - ANSWER Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be
able to be sexually active. Which information should the nurse
include in an initial response? - ANSWER Multiple options are
available to maintain sexuality after spinal cord injury.
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