Answer to Question 1
Correct Answer: 5, 3, 1, 2, 4
In an emergency situation, the nurse first assesses the patient's level of consciousness during the primary survey of CPR. All people who have sustained trauma to the head or spine, or who are unconscious, should be treated as though they have a spinal cord injury. Prehospital management includes rapid assessment of the ABCs (airway, breathing, circulation) and then immobilizing and stabilizing the head and neck.
Answer to Question 2
Correct Answer: 4
Spinal shock is a condition almost half the people with acute spinal injury experience. It is characterized by a temporary loss of reflex function below level of injury and includes the following symptomatology: flaccid paralysis of skeletal muscles, loss of sensation below the injury, possibly bowel and bladder dysfunction, and loss of ability to perspire below the injury level. The nurse should explain to the patient what is happening. The healthcare provider does not need to be contacted. Radiologic evaluation is not necessary and surgery is not indicated.
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