Answer to Question 1
Answer: D
The client has thoracic injuries and might be reluctant to deep breathe and cough because of pain. The nurse needs to ensure that the client breathes deeply and coughs every 2 hours to mobilize secretions and prevent respiratory complications. Monitoring urine output and assessing vital signs are important but not the priority at this time. The client may be able to perform active range of motion for all extremities, so this intervention may or may not be indicated.
Answer to Question 2
Answer: C
Methylprednisolone (Medrol) is given to clients with spinal cord injuries to decrease inflammation and prevent nerve damage. Hydrocodone (Vicodin) is a pain relief medication. Ibuprofen (Motrin) is an anti-inflammatory given to clients to reduce swelling, such as joint swelling. Xylocaine (Lidocaine) is injected into the affected muscle to relieve pain and muscle spasms, such as muscle spasms related to whiplash.
A nurse shows empathy to a client.
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Variations Affecting Health Care Among Different Cultures
Health care setting.
Thoracic cage. Avoid heavy pressure over the sternum and xiphoid process; caution over rib cage.