A 14-year-old girl is in the intensive care unit after a spinal ...

[809779]

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. Nursing care for this child includes (select all that apply)
 
  a. Monitoring and maintaining systemic blood pressure
  b. Administering corticosteroids
  c. Minimizing environmental stimuli
  d. Discussing long-term care issues with the family
  e. Monitoring for respiratory complications

Question 2

A pregnant patient learns that her fetus has a genetic anomaly that will affect cognitive and musculoskeletal development. The patient is meeting with her spouse and the nurse and wants to know what options are available to them.
 
  What is the first thing that the nurse needs to do to help this couple with decision making? A) Suggest routes to terminate pregnancy.
  B) Assist the couple in identifying their values.
  C) Analyze the opinions of extended family members.
  D) Explain health care options for the baby going forward.

[Ddddd]

Answer to Question 1

A, B, E
Feedback
Correct Spinal cord injury patients are physiologically labile, and close monitoring
is required. They may be unstable for the first few weeks after the injury.
Corticosteroids are administered to minimize the inflammation present
with the injury.
Incorrect Spinal cord injury is a catastrophic event. Discussion regarding long-term
care should be delayed until the child is stable.

Answer to Question 2

B
Feedback:
A useful place to start counseling is with values clarification to be certain a couple understands what is most important to them. Routes to terminate the pregnancy should be the last option. Analyzing the opinions of extended family members should occur after the couple identifies their own values. Explaining health care options for the baby going forward can occur after the couple identifies their values.

[809779]

TYSM

[T4T]

Excellent