The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this injury?
Bradycardia
Sepsis
Hypertension
Respiratory compromise
The Correct Answer is D
A. Bradycardia is possible due to autonomic dysfunction but is not the leading cause of death.
B. Sepsis can occur due to immobility and pressure injuries but is secondary to respiratory compromise.
C. Hypertension is not directly linked to high cervical spine injuries and is less common than respiratory issues in this setting.
D. Respiratory compromise is the primary cause of complications or death in patients with a high cervical spine injury (C-3 and above) due to loss of innervation to the diaphragm and intercostal muscles, which impairs spontaneous breathing. Mechanical ventilation is often required to maintain adequate oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 28 units only accounts for the NPH insulin dosage and does not include the regular insulin dosage.
B. Adding 14 units of regular insulin and 28 units of NPH insulin results in a total of 42 units, the correct dose to prepare in the syringe.
C. 14 units only accounts for the regular insulin dosage and does not include the NPH insulin dosage.
D. 32 units is not the correct total dose; it underestimates the combined dosage.
Correct Answer is C
Explanation
A. The occipital lobe primarily processes visual information and is less involved in object identification errors.
B. The frontal lobe governs behavior, personality, and decision-making rather than object identification.
C. The parietal lobe is involved in processing sensory information and object recognition. Misidentifying objects can indicate damage to this area of the brain.
D. The temporal lobe is associated with auditory processing and memory, not typically object recognition errors.
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