Which intervention would be a priority when providing care to a ...

[cherise1989]

Which intervention would be a priority when providing care to a client recovering from thoracic injuries sustained from a motor vehicle crash?
 
  A) Monitor urine output.
  B) Assess vital signs.
  C) Perform passive range of motion to all extremities.
  D) Assist to deep breath and cough every 2 hours.

Question 2

A client is admitted to the emergency depeartment with an incomplete spinal cord injury. Which prescription does the nurse anticipate to decrease inflammation and nerve damage?
 
  A) Hydrocodone (Vicodin)
  B) Ibuprofen (Motrin)
  C) Methylprednisolone (Medrol)
  D) Xylocaine (Lidocaine)

[memslove]

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.

[cherise1989]

Gracias!

[bdobbins]

Excellent