A client receiving care for a spinal cord injury complains of a ...

[kshipps]

A client receiving care for a spinal cord injury complains of a pounding headache, blurred vision, and has a blood pressure of 200/100 mmHg. What is the first action the nurse should take?
 
  1. Administer pain medication.
  2. Position the client on the left side.
  3. Turn off the lights and decrease the noise in the room.
  4. Check the bladder for distension.

Question 2

When caring for a client with total hearing loss, the nurse is instructing the client about the many options that are available to function in a hearing world. Which of the following should the nurse include? (Select all that apply.)
 
  1. Flashing lights for alarms
  2. TV with closed captions
  3. Talking computer
  4. Lip reading and sign language
  5. Cell phones with headsets
  6. Loud ringers on telephones

[vickybb89]

Answer to Question 1

4
The symptoms suggest autonomic hyperreflexia, a medical emergency. The client should be checked for a distended bladder and be prepared for catheterization. Pain medication, positioning, or reducing environmental stimuli will not treat the underlying cause of autonomic hyperreflexia.

Answer to Question 2

1, 2, 4
Patients who have no hearing have access to various mechanisms to alert them to various sounds. Flashing lights for alarms to phones and doorbells, TV with closed captions for the hearing impaired, and classes in lip reading and sign language are some options. Talking computers and cell phones with headsets are advancements for the hearing, not for the hearing impaired. Loud ringers on telephones would also be helpful to the client with some hearing and not a total hearing loss.

[kshipps]

Correct answers!

[vickybb89]

Great! Please up vote