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 C
Explanation
Choice A: Head of bed 45 degrees is not enough to prevent aspiration or choking, as the patient may still have difficulty swallowing and clearing their airway.
Choice B: Patient should be on a regular diet to rebuild their swallowing ability is not correct, as the patient may need a modified diet depending on their level of dysphagia or swallowing impairment. A regular diet may pose a risk of aspiration or choking.
Choice C: Have patient sit upright 90 degrees in bed or chair is correct, as this position helps the patient align their head and neck and use gravity to facilitate swallowing and prevent aspiration.
Choice D: All of the above is not correct, as only choice C is appropriate for assisting a stroke patient with feeding.
Correct Answer is C
Explanation
Choice A: Paralysis of the joints is not a description of dysarthria, but rather a possible complication of stroke or other neurological disorders.
Choice B: Blindness over half the field of vision is not a description of dysarthria, but rather a sign/symptom of hemianopia or visual field loss.
Choice C: Difficult or unclear articulation of speech is a description of dysarthria, as it is a motor speech disorder caused by weakness or paralysis of the muscles involved in speech production.
Choice D: Paralysis of one side of the body is not a description of dysarthria, but rather a sign/symptom of hemiplegia or unilateral weakness.
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