Answer to Question 1
Answer: C
High-dose steroid protocol using methylprednisolone must be implemented within 8 hours of the injury to improve neurologic recovery. Clinical research indicates that the use of this adrenocorticosteroi d is effective in preventing secondary spinal cord damage from edema and ischemia. This medication may cause hyperglycemia if the client also has a diagnosis of diabetes. This medication is not provided to improve respirations or improve the level of consciousness.
Answer to Question 2
Answer: B
An ideal outcome for the client with bowel and bladder dysfunction as a result of a spinal cord injury would be for the client to attain appropriate bowel and bladder elimination habits. If the client's ability to perform self-urinary catheterization is improving, the interventions can be considered successful. The client with an indwelling urinary catheter receiving stool softeners every morning is not progressing toward bowel and bladder elimination habits. The client who had two episodes of impacted stool over the last week is not progressing in bowel elimination habits. The client who is limiting fluids to reduce the need to void is possibly hindering his health in order to avoid having to perform self-urinary catheterization.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Nurse collaboration
A medical records department. (Paper records are becoming obsolete, replaced by electronic records.)
Using small, circular strokes, exfoliate the client’s neck and back.
A dendritic cell preparing to engulf spores of a fungus, Aspergillus fumigatus.