Author Question: A client is brought into the emergency department after being assaulted. It is suspected that the ... (Read 93 times)

Ebrown · **on:** Jun 25, 2018

A client is brought into the emergency department after being assaulted. It is suspected that the client has a spinal cord injury. Which diagnostic test does the nurse anticipate based on the data collected?

A) Computed tomography (CT) scan
B) X-ray
C) Ultrasound
D) Magnetic resonance imaging (MRI)

Question 2

What would the nurse working in the emergency department identify as clinical priorities for the treatment of a client with a gunshot wound?

Select all that apply.
A) Airway maintenance
B) Obtaining medical history
C) Ventilation assistance
D) Hemorrhage control
E) Hypothermia prevention

snackralk · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

An MRI will be performed if there is a risk for spinal cord injuries, injuries to the muscles, or abdominal injuries. A computed tomography (CT) scan is performed if internal bleeding is suspected. An x-ray will be performed for potential broken or fractured bones. An ultrasound is performed if internal bleeding is suspected.

Answer to Question 2

Answer: A, C, D, E

Clinical priorities for the treatment of gunshot wound are the following: maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia. Also necessary is a rapid, recurrent assessment of the client's neurologic status, as well as prevention of infection. While obtaining the client's medical history is important, this action would not be priority and would take place after the priority assessment and treatment. Once the safety of the client is assured then the nurse will manage the client's emotional state and obtain the medical history.