The Emergency Department nurse is expecting a patient with a spinal cord transection at C1. Which of the following assessments take priority upon the patient's arrival? (SELECT ALL THAT APPLY)
Blood pressure
Bladder function
Heart rate
Reflexes
Respirations
Correct Answer : A,C,E
A. Blood pressure monitoring is essential, as spinal cord injuries at high levels can cause disruptions in autonomic regulation, leading to significant blood pressure fluctuations.
B. Bladder function is impacted by spinal cord injuries; however, it is not the initial priority in an emergency setting when life-threatening complications must be managed first.
C. Heart rate is critical as high spinal cord injuries can impact cardiac function by affecting autonomic control, potentially leading to bradycardia.
D. Reflexes are often assessed in cases of spinal injury, but they are not the immediate priority when stabilizing the patient upon arrival.
E. Respirations are a priority, as a C1 spinal cord injury can compromise respiratory function, necessitating immediate assessment to ensure adequate oxygenation and airway management.
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Related Questions
Correct Answer is C
Explanation
A. This is a correct statement, as using multiple drugs helps to reduce the likelihood of resistance and enhances viral suppression.
B. This is accurate; if resistance develops, alternative medications or combinations can be considered.
C. This statement indicates a misunderstanding. Antiretroviral medications do not kill the virus; they suppress its replication. Lifelong adherence to antiretroviral therapy is necessary to manage HIV and prevent viral rebound.
D. Correct, as an effective regimen should lead to an increase in CD4 count and improved immune function.
Correct Answer is B
Explanation
A. Expecting a patient to display preinjury personality traits may not be feasible, as head injuries can lead to permanent personality changes.
B. Actively participating in rehabilitation is a realistic goal that focuses on the patient's engagement in the recovery process, which can improve functional outcomes.
C. Returning to a specific job, such as a corporate attorney, may not be a realistic goal initially and depends on the extent of cognitive recovery.
D. Recalling childhood events is not a priority goal in rehabilitation; functional and recovery-focused goals are more relevant.
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