Answer to Question 1
B
Feedback:
The nurse should be aware that the sudden onset of hypertension in clients with autonomic dysreflexia causes seizures or strokes. Autonomic dysreflexia is characterized by a sudden and dangerous elevation of blood pressure owing to autonomic response to various stimuli. A sudden onset of hypertension may not result in chills and severe headache, respiratory distress, or visual disturbances.
Answer to Question 2
A
Feedback:
First-intention healing occurs in wounds with minimal tissue loss, such as surgical incisions or wounds sutured soon after injury. Second-intention healing occurs with tissue loss, such as lacerations, burns, and pressure ulcers. Third-intention healing occurs when there is a delay in the time between the injury and wound closure. It occurs after surgery when there is an infection or in a large open wound when the wound is closed later. There is no fourth-intention healing.
Responsibilities of the nurse manager
Effects of Spinal Cord and Autonomic System Damage
Testing client’s ability to identify sharp sensations
Anatomy of Autonomic Motor Pathways
Anatomy of Autonomic Motor Pathways