This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: An adolescent recovering from a spinal cord injury calls out for help. The patient's face is bright ... (Read 62 times)

Cooldude101

  • Hero Member
  • *****
  • Posts: 557
on: Jun 27, 2018
An adolescent recovering from a spinal cord injury calls out for help. The patient's face is bright red, and the patient is experiencing a severe headache. What is the first thing that the nurse should do for this patient?
 
  A) Administer mouth-to-mouth resuscitation.
  B) Assess if the urinary retention catheter is blocked.
  C) Massage the lower extremities to cause vasodilation.
  D) Lower the head of the bed to increase cerebral circulation.

Question 2

The nurse is caring for a 10-year-old boy who is in traction.
 
  The boy has a nursing diagnosis of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. Which of the following would be the best intervention? A) Offer the child reading materials.
  B) Enlist the aid of a child life specialist.
  C) Encourage the child to complete his homework.
  D) Ask for the parents' assistance.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bblaney

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 27, 2018
Answer to Question 1

B
Feedback:
The patient is demonstrating signs of autonomic dysreflexia, which include extreme hypertension, tachycardia, flushed face, and severe occipital headache. This can occur if the patient's bladder is allowed to fill. The resultant sensory stimulation relayed to the damaged cord can initiate a powerful sympathetic reflex reaction. The nurse should assess that the patient's urinary catheter is not obstructed, so urine can flow freely and reduce the sensory stimulation. The patient is talking, so mouth-to-mouth resuscitation is not necessary. Massaging the lower extremities and lowering the head of the bed will not relieve the sensory stimulation caused by the blocked urinary catheter.

Answer to Question 2

B
Feedback:
The nurse should enlist the aid of a child life specialist to provide suggestions for appropriate activities. Offering the child reading materials or encouraging him to complete his homework would most likely be met with resistance as he has already verbalized his boredom and disinterest in play, reading, and schoolwork. The parents could offer the child life specialist ideas about the boy's likes and dislikes; however, the child life specialist could offer expertise in assisting hospitalized children.


Cooldude101

  • Member
  • Posts: 557
Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review

ktidd

  • Member
  • Posts: 319
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

The first-known contraceptive was crocodile dung, used in Egypt in 2000 BC. Condoms were also reportedly used, made of animal bladders or intestines.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Nurse-patient interaction; nonverbal communication Nurse-patient interaction; nonverbal communication
Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
The spinal column. The spinal column.
The brain, spinal cord, and spinal nerves. An expanded view of the spinal cord is shown. The brain, spinal cord, and spinal nerves. An expanded view of the spinal cord is shown.
Video: Interview with Person who has Panic Attacks

For a complete list of videos, visit our video library