A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury.
Select 1 condition and 1 client finding to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"C"}
The client is at risk for developing respiratory depression due to spinal shock
- Spinal shock is a condition that can occur after a spinal cord injury, particularly in the acute phase. It is characterized by temporary loss of reflexes and muscle function below the level of the injury. Respiratory depression can occur as a complication of spinal shock due to impaired respiratory muscle function and reduced ability to breathe effectively.
- The client's vital signs show a slight increase in temperature and heart rate, which may indicate an underlying condition such as spinal shock. Additionally, the client's recent surgery for a T4 spinal cord injury further increases the risk of spinal shock and its associated complications, including respiratory depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A is correct because it is a direct and respectful way of addressing the issue with the nurse who is violating the unit policies. It also opens up a dialogue for possible solutions and feedback.
B is incorrect because it is a threatening and punitive statement that does not address the root cause of the problem or offer any constructive feedback.
C is incorrect because it is a passive-aggressive and guilt-inducing statement that does not clearly communicate the expectations or consequences of violating the unit policies.
D is incorrect because it is an irrelevant and deflecting statement that does not address the issue of taking an extended amount of time for break.
Correct Answer is A
Explanation
A. This is correct because discomfort while walking can indicate genital trauma or infection, which are possible signs of sexual abuse.
B. This is incorrect because thin extremities can be caused by many factors, such as malnutrition, genetic disorders, or chronic diseases, that are not necessarily related to sexual abuse.
C. This is incorrect because bruises on the upper back can result from accidental injuries, such as falls or bumps, or from physical abuse, such as hitting or kicking, but not specifically from sexual abuse.
D. This is incorrect because a stained shirt can be due to poor hygiene, food spills, or environmental factors, but not necessarily from sexual abuse.
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