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38.  Health promotion for a client with spinal cord injury include implementation of which measure? Counseling Education Encourage seat belts Encourage helmets Identify those that are at high-risk  

48. The nurse is caring for a client who has a head injury and fractured right arm after being assaulted. He is examined by the primary health care provider (PHCP) and the CT scan identifies an acute subdural hematoma. Which assessment information requires rapid action by the nurse?

50. While admitting a 42-yr-old client with a possible brain injury after a car accident to the emergency department (ED), the nurse obtains the following information. Which finding is most important to report to the health care provider?

59.  The nurse is caring for a client who was diagnosed with an aneurysm measuring 6.5 cm.  with a graft recently placed.  The client is being admitted now to determine the patency of the graft.  The nurse would assess for which findings indicating patency?

32.  A client has an incomplete right spinal cord lesion at the level of T7, resulting in Brown-Sequard syndrome.  Which nursing action should be included in the plan of care?

8. A nurse is caring for a client who has burns of the ears, head, neck, and right arm.  The nurse should place the client in which position to decrease risk of contractures?

23. A client who was found unconscious in a burning house is brought to the emergency department by ambulance. The nurse notes that the client’s skin color is bright red. Which action would be of highest priority for the nurse to implement?   

17.  When assessing the effectiveness of an escharotomy performed for a full thickness or third-degree circumferential arm burn, which finding is the anticipated therapeutic outcome for this client?

34. A client with a T4 spinal cord injury asks the nurse if he will be able to be sexually active. Which initial response by the nurse is most therapeutic?

3.  A client is admitted to the burn center with burns of his head, neck, chest and back after explosion in his garage.  On assessment, the nurse auscultates wheezes throughout the lung fields.  On reassessment, the wheezes are gone, and the breath sounds are greatly diminished.  Which two actions are most appropriate for the nurse to take next?