The nurse will explain to the patient who has a T2 spinal cord transection injury that
a. use of the shoulders will be limited.
b. function of both arms should be retained.
c. total loss of respiratory function may occur.
d. tachycardia is common with this type of injury.
Question 2When the nurse is developing a rehabilitation plan for a 30-year-old patient with a C6 spinal cord injury, an appropriate goal is that the patient will be able to
a. drive a car with powered hand controls.
b. push a manual wheelchair on a flat surface.
c. turn and reposition independently when in bed.
d. transfer independently to and from a wheelchair.
Question 3A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action will the nurse include in the plan of care?
a. Teach the patient the Cred method.
b. Instruct the patient how to self-catheterize.
c. Catheterize for residual urine after voiding.
d. Assist the patient to the toilet every 2 hours.
Question 4The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit. Which assessment finding(s) indicate(s) neurogenic shock?
a. Hyperactive reflex activity below the level of injury
b. Involuntary, spastic movements of the arms and legs
c. Hypotension, bradycardia, and warm, pink extremities
d. Lack of sensation or movement below the level of injury
Question 5A construction worker arrives at an urgent care center with a deep puncture wound after an old nail penetrated his boot.. The patient reports having had a tetanus booster 6 years ago. The nurse will anticipate
a. IV infusion of tetanus immune globulin (TIG).
b. administration of the tetanus-diphtheria (Td) booster.
c. intradermal injection of an immune globulin test dose.
d. initiation of the tetanus-diphtheria immunization series.
Question 6A 68-year-old patient hospitalized with a new diagnosis of Guillain-Barr syndrome has numbness and weakness of both feet. The nurse will anticipate teaching the patient about
a. intubation and mechanical ventilation.
b. administration of corticosteroid drugs.
c. insertion of a nasogastric (NG) feeding tube.
d. infusion of immunoglobulin (Sandoglobulin).
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