Summary for Case Study: Parkyr Litchfield Hiya doc. I’m Parkyr—with

1. RN is assisting UAP with care of a patient with a spinal cord injury at the T5 level. What action by the UAP would require correction by the nurse? Checking BP prior to changing clients position Performing ROM exercises to lower extremities Raising the knee gash to make the client more comfortable Checking skin for breakdown 2. RN is caring for a client with tetraplegia. RN elevates HOB to 30*. Patient complains of dizziness and has hypotension. What should the RN do? Wait for the client to adjust to the change Lower the head of the bed Raise the foot of the bed Call HCP immediately. 3. the RN is caring for a client who received a Traumatic brain injury 5 days ago. What interventions would the RN implement to prevent complications? Select all that apply administer stool softeners keep head turned to side maintain cerebral perfusion pressure between 35 and 44 anticipated administration of anticonvulsants monitor for hyponatremia ensure ongoing nutritional support 4. RN is teaching a client with a spinal cord injury who has a new prescription for baclofen to treat muscle spasms. What statement indicates understanding by the client? Will stop this medication right away if I experience dizziness I will not be able to drink alcohol while taking this medication May develop loose stools while on this meds Will need to monitor myself for high blood pressure 5. ICU nurse is monitoring patient with TBI for signs of increased intracranial pressure. What would indicate an early sign of deterioration of the patients neurological status? Systolic hypotension and fever Bradycardia and systolic hypertension Narrow pulse pressure and seizures Tachycardia and widending pulse pressure 6. RN is teaching client and family about potential complications for long term chemotherapy. What are long term complications? Select all that apply Osteoporosis Heart problems Difficulty swallowing Aphasia Hypothyroidism 7. RN is teaching client and family about potential complications for long term chemotherapy. What are long term complications? Select all that apply Osteoporosis Heart problems Difficulty swallowing Aphasia Hypothyroidism 8. ICU RN is caring for a patient with a head injury who is intubated and becomes agitated and combative. She prepares to administer what medication to calm the client? Lorazepam Hydantoin Propofol Diazepam

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