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 38 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
Great answer, keep it coming :)

ebonylittles

  • Member
  • Posts: 318
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

Opium has influenced much of the world's most popular literature. The following authors were all opium users, of varying degrees: Lewis Carroll, Charles, Dickens, Arthur Conan Doyle, and Oscar Wilde.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

A medical assistant listening to the patient and physician discuss the patient's care. A medical assistant listening to the patient and physician discuss the patient's care.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
Areas of sclerosis (see arrows) in the white matter of a patient with MS. Areas of sclerosis (see arrows) in the white matter of a patient with MS.
Head of a patient with tertiary syphilis. Head of a patient with tertiary syphilis.
Immune-to-brain signaling occurs in response to infection, injury, and inflammation that occur in pe Immune-to-brain signaling occurs in response to infection, injury, and inflammation that occur in pe
Video: Structures that affect circulation - heart and MABP

For a complete list of videos, visit our video library