A patient with a spinal cord injury at T1 complains of stuffiness ...

[lidoalex]

A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and goose flesh. What should be the primary nursing intervention based on these assessments?
 
  a. Place patient in flat position and check temperature
  b. Administer oxygen and check oxygen saturation
  c. Place on side and check for leg swelling
  d. Sit upright and check blood pressure

Question 2

A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition?
 
  a. It is an ominous indicator of permanent paralysis.
  b. It is possibly a temporary condition and will clear.
  c. It degenerates into a spastic paralysis.
  d. It will progress up the cord to cause seizures.

[sarahccccc]

Answer to Question 1

ANS: D
These are indicators of autonomic dysreflexia or hyperreflexia. It is a medical emergency. The patient should be placed in an upright position to decrease blood pressure and the blood pressure should be checked. Assessments for impaction, full bladder, or a urine infection can help to evaluate this condition.

Answer to Question 2

ANS: B
A period of flaccid paralysis following a cord injury is called areflexia, or spinal shock, and may be temporary.

[lidoalex]

Wow, this really help

[miss_1456@hotmail.com]

Excellent