Author Question: A school nurse is treating a school-age client who has fallen down a flight of stairs. The client is ... (Read 83 times)

jc611 · **on:** Jun 25, 2018

A school nurse is treating a school-age client who has fallen down a flight of stairs. The client is breathing but unconsciousness.

After calling the ambulance, which is the priority action by the nurse?
A) Open the airway using the head tilt maneuver.
B) Try to rouse the client by gently shaking the shoulders.
C) Protect the client's neck and head from any movement.
D) Place the client on the side to prevent aspiration.

Question 2

A client with Graves disease requests that the nurse discuss the results of laboratory tests with the client. Which statements would the nurse include?

Select all that apply.
A) Your TSH level is increased.
B) Your thyroid antibodies test is increased.
C) Your serum T4 is decreased.
D) Your serum T3 is increased.
E) Your T3 uptake is decreased.

frankwu0507 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Guidelines for emergency care are avoiding flexing, extending, or rotating the neck; immobilization of the neck; securing the head; maintaining the client in the supine position; and transferring from the stretcher with backboard in place to the hospital bed. This client is unconscious, and the nurse must protect the neck from any (or any further) damage. If the client vomits, the nurse should utilize the log-roll technique to turn the client while keeping the head, neck, and spine in alignment. The client is breathing; however, if a change in respirations were to occur, the airway should be opened using the jaw thrust maneuver. Rousing the client by shaking could cause damage to the spinal cord.

Answer to Question 2

Answer: B, D

Graves disease, or primary hyperthyroidism, has alterations in normal lab work. With this condition, TSH levels are decreased. Thyroid antibodies, serum T4, serum T3, and T3 uptake tests are all increased.