1 of 183
Term
A pt w spinal cord injury is ready to be discharged home. A family
member asks the nurse to review potential complications one more
time. What are the potential complications that should be monitored
for in this pt? Select all that apply:
a. orthostatic hypotension
b. autonomic dysreflexia
c. DVT
d. salt-wasting syndrome
e. increased ICP
Give this one a try later!
A, B, D A, C, E
A, B, C A, D, E
, Don't know?
2 of 183
Term
A critical care nurse is aware of similarities and differences between
the treatments for different types of shock. Which of the following
interventions is used in all types of shock?
a. agressive hypoglycemic control
b. administration of hypertonic IV fluids
c. early provision of nutritional support
d. agressive antibiotic therapy
Give this one a try later!
A B
D C
Don't know?
3 of 183
Term
The nurse is transferring a pt who is in the progressive stage of
shock into ICU from the medical unit. The medical nurse is aware that
shock affects many organ systems and that nursing management of
the pt will focus on what intervention?
a. reviewing the case of shock and prioritizing the pt's psychosocial
,needs
b. assessing and understanding shock and the significant changes in
assessment data to guide the plan of care
c. giving the prescribed treatment, but shifting focus to providing
family time as the pt is unlikely to survive
d. promoting the pt's coping skills in an effort to better deal w the
physiologic changes accompanying shock
Give this one a try later!
D B
C A
Don't know?
4 of 183
Term
The nurse is planning the care of a pt w a T1 spinal cord injury. The
nurse has identified the diagnosis of risk for impaired skin integrity.
How can the nurse best address this risk?
a. change the patients position frequently
b. provide a high-protein diet
c. provide light massage at least daily
d. teach the pt deep breathing & coughing exercises
Give this one a try later!
, A C
B D
Don't know?
5 of 183
Term
Following a SCI a pt is placed in halo traction. While performing pin
site care, the nurse notes that one of the traction pins has become
detached. The nurse would be correct in implementing what priority
nursing action?
a. compete the pin site care to decrease risk of infection
b. notify the neurosurgeon of the occurrence
c. stabilize the head in a lateral position
d. reattach the pin to prevent further head trauma
Give this one a try later!
D C
B A
Don't know?
6 of 183
Term
Term
A pt w spinal cord injury is ready to be discharged home. A family
member asks the nurse to review potential complications one more
time. What are the potential complications that should be monitored
for in this pt? Select all that apply:
a. orthostatic hypotension
b. autonomic dysreflexia
c. DVT
d. salt-wasting syndrome
e. increased ICP
Give this one a try later!
A, B, D A, C, E
A, B, C A, D, E
, Don't know?
2 of 183
Term
A critical care nurse is aware of similarities and differences between
the treatments for different types of shock. Which of the following
interventions is used in all types of shock?
a. agressive hypoglycemic control
b. administration of hypertonic IV fluids
c. early provision of nutritional support
d. agressive antibiotic therapy
Give this one a try later!
A B
D C
Don't know?
3 of 183
Term
The nurse is transferring a pt who is in the progressive stage of
shock into ICU from the medical unit. The medical nurse is aware that
shock affects many organ systems and that nursing management of
the pt will focus on what intervention?
a. reviewing the case of shock and prioritizing the pt's psychosocial
,needs
b. assessing and understanding shock and the significant changes in
assessment data to guide the plan of care
c. giving the prescribed treatment, but shifting focus to providing
family time as the pt is unlikely to survive
d. promoting the pt's coping skills in an effort to better deal w the
physiologic changes accompanying shock
Give this one a try later!
D B
C A
Don't know?
4 of 183
Term
The nurse is planning the care of a pt w a T1 spinal cord injury. The
nurse has identified the diagnosis of risk for impaired skin integrity.
How can the nurse best address this risk?
a. change the patients position frequently
b. provide a high-protein diet
c. provide light massage at least daily
d. teach the pt deep breathing & coughing exercises
Give this one a try later!
, A C
B D
Don't know?
5 of 183
Term
Following a SCI a pt is placed in halo traction. While performing pin
site care, the nurse notes that one of the traction pins has become
detached. The nurse would be correct in implementing what priority
nursing action?
a. compete the pin site care to decrease risk of infection
b. notify the neurosurgeon of the occurrence
c. stabilize the head in a lateral position
d. reattach the pin to prevent further head trauma
Give this one a try later!
D C
B A
Don't know?
6 of 183
Term
