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A home care nurse is caring for an adolescent with a T1 spinal cord injury. The adolescent suddenly

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A home care nurse is caring for an adolescent with a T1 spinal cord injury. The adolescent suddenly

A home care nurse is caring for an adolescent with a T1 spinal cord injury. The adolescent suddenly becomes flushed, hypertensive, and diaphoretic. Which intervention should the nurse perform first?
a.   Place the adolescent in a flat right side-lying position.
b.   Place a cool washcloth on the adolescent’s forehead and continue to monitor the blood pressure.
c.   Implement a standing prescription to empty the bladder with a sterile in and out Foley catheter.
d.   Take a full set of vital signs and notify the health care provider.

Textbook

Wong's Essentials of Pediatric Nursing

Edition: 9^th

Authors: Hockenberry, Wilson

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jk313581 Author

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9 years ago

Such an amazing explanation too! Thank you, you're so sweet.

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