NURSING 3165 Final Exam Questions And Answers - Latest Update 2023 / 2024 (GRADED)

The nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier. The nurse should: a. Continue to monitor. b. Inform the charge nurse. c. Perform intermittent catheterizations. d. Turn the patient to the right side. A school nurse is called after a student falls down a flight of stairs. The student is breathing, but unconscious. Which is the most appropriate initial action by the nurse? 1. Extend the neck to open airway. 2. Place the patient on his side to prevent aspiration. 3. Immobilize the neck, securing the head. 4. Assess vital signs and pupil reactions Which technique of opening the airway in the newly admitted patient with a SCI is the most appropriate? a. Chin lift b. Head tilt c. Jaw thrust d. Neck flexion A client with a spinal cord injury at the T1 level complains of a severe headache and an "anxious feeling." The nurse confirms high blood pressure. Which is the most appropriate initial reaction by the nurse? 1. Try to calm the patient and make the environment soothing. 2. Assess for a full bladder. 3. Notify the healthcare provider. 4. Sit the client.