Author: Anonymous

A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse, “I have a pounding headache and I feel sick to my stomach.” Which action should the nurse take first?

Treatment with high-dose corticosteroids like methylprednisolone has been shown to be prevent mylein sheath oxidation following spinal cord damage after trauma occurs. When should treatment begin to be most effective?

After the emergency department nurse has received a status report on the following patients who have been admitted with head injuries, which patient should the nurse assess first?

Which nursing action has the highest priority for a patient who was admitted 16 hours earlier with a C5 spinal cord injury?

A patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should

A patient who has a head injury may develop increased intracranial pressure (ICP). Which of these interventions may be used to decrease the ICP?

When assessing a patient with a head injury, the nurse recognizes that the earliest indication of increased intracranial pressure (ICP) is

The nurse is caring for a patient who has a head injury. Which finding, when reported to the health care provider, should the nurse expect will result in new prescribed interventions?

A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?

The home health nurse is caring for an 81-yr-old who had a stroke 2 months ago. Based on information shown in the accompanying figure from the history, physical assessment, and physical and occupational therapy, which problem is the highest priority? History Physical Assessment Physical/Occupational Therapy · Well controlled type 2 diabetes for 10 years· Married 45 years; spouse has heart failure and chronic obstructive pulmonary disease · Oriented to time, place, person· Speech clear·Minimal left leg weakness · Uses cane with walking· Spouse does household cleaning and cooking and assists patient with bathing and dressing