What is the best nursing intervention for patients with spinal cord injury?
Move patient in a fast abrupt manner
Use neck brace or collar at patient's discretion
Reposition patient if spine is stable and as indicated by physician
All of the above
The Correct Answer is C
Choice A: Moving patient in a fast abrupt manner is incorrect because it can cause further damage to the spinal cord or other organs. It can also increase the risk of complications such as pressure ulcers, contractures, or fractures. The patient should be moved gently and carefully with proper alignment and support.
Choice B: Using neck brace or collar at patient's discretion is incorrect because it can cause skin irritation, infection, or pressure injuries. The neck brace or collar should be used only as prescribed by the physician and adjusted regularly to ensure a good fit and comfort.
Choice C: Repositioning patient if spine is stable and as indicated by physician is correct because it can prevent complications such as pressure ulcers, contractures, or respiratory infections. The patient should be repositioned every two hours or more frequently if needed, using pillows, wedges, or other devices to maintain proper alignment and relieve pressure.
Choice D: All of the above are incorrect because they do not follow the best practices for nursing intervention for patients with spinal cord injury. They can cause harm or discomfort to the patient and worsen their condition. The nurse should follow the physician's orders and the standards of care for spinal cord injury patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Referral to counselor, social worker, home health care, support groups is correct because it can help the patient cope with the emotional, social, and practical aspects of living with a brain tumor. It can also provide information, resources, and assistance to the patient and their caregivers.
Choice B: Presence of family, friends, spiritual advisor, and health care personnel may be supportive is correct because it can provide comfort, companionship, and guidance to the patient. It can also help the patient express their feelings, needs, and preferences.
Choice C: Encourage independence for as long as possible is correct because it can enhance the patient's self-esteem, dignity, and quality of life. It can also help the patient maintain their physical and mental abilities and prevent complications such as depression, anxiety, or immobility.
Choice D: All of the above are correct because they are part of the holistic nursing care for the patient with nervous system metastases or primary brain tumor. They can address the physical, psychological, social, and spiritual needs of the patient and their family.
Correct Answer is A
Explanation
Choice A: Progressive weakness and atrophy of muscle is a manifestation of ALS, as it results from the loss of motor
neurons that control voluntary muscle movements²³.
Choice B: Cramps, twitching, and lack of coordination is a manifestation of ALS, as it results from the abnormal activity of motor neurons that are still functioning²³.
Choice C: Spasticity, deep tendon reflexes brisk, and overactive is a manifestation of ALS, as it results from the damage to the upper motor neurons that regulate muscle tone²³.
Choice D: Difficulty speaking, swallowing, breathing is a manifestation of ALS, as it results from the involvement of the muscles in the mouth, throat, and chest²³.
Choice E: All of the above is correct, as all of these manifestations are common in ALS.
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