WorksheetsSpinal Cord Injury
Total questions: 10
Worksheet time: 6mins
A patient with a spinal cord injury (SCI) is admitted to the unit and placed in traction. Which of the following actions is the nurse responsible for when caring for this patient?
Select all that apply.
a. Modifying the traction weights as needed.
b. Assessing the patient's skin integrity.
c. Applying the traction upon admission.
d. Administering pain medication.
e. Providing passive range of motion.
An unconscious patient receiving emergency care following an automobile crash accident has a possible spinal cord injury. What guidelines for emergency care will be followed?
Select all that apply.
a. Immobilize the neck using rolled towels or a cervical collar.
b. The patient will be placed in a supine position.
c. The patient will be placed on a ventilator.
d. The head of the bed will be elevated.
e. The patient's head will be secured with a belt or tape secured to the stretcher.
Which patient is at highest risk for a spinal cord injury?
a. 18-year-old male with a prior arrest for driving while intoxicated (DWI).
b. 20-year-old female with a history of substance abuse.
c. 50-year-old female with osteoporosis.
d. 35-year-old male who coaches a soccer team.
A patient with a spinal cord injury (SCI) has complete paralysis of the upper extremities and complete paralysis of the lower part of the body. The nurse should use which medical term to adequately describe this in documentation?
a. Hemiplegia.
b. Paresthesia.
c. Paraplegia.
d. Quadriplegia.
Which of the following nursing actions is appropriate for preventing skin breakdown in a patient who has recently undergone a laminectomy (type of surgery in which a surgeon removes part or all of the vertebral bone)?
a. Provide the patient with an air mattress.
b. Place pillows under patient to help patient turn.
c. Teach the patient to grasp the side rail to turn.
d. Use the log roll to turn the patient to the side.
Urinary function during the acute phase of spinal cord injury is maintained with?
a. an indwelling catheter.
b. intermittent catheterization.
c. insertion of a suprapubic catheter.
d. use of incontinent pads to protect the skin.
During assessment of a patient with a spinal cord injury, the nurse determines that the patient has a poor cough with diaphragmatic breathing. Based on this finding, the nurses' first action should be to?
a. initiate frequent turning and repositioning.
b. use tracheal suctioning to remove secretions.
c. assess lung sounds and respiratory rate and depth.
d. prepare the patient for endotracheal intubation and mechanical ventilation.
A patient is admitted to the emergency department with a possible cervical spinal cord injury following an automobile crash. During the admission of the patient, the nurse places the highest priority on?
a. maintaining a patent airway.
b. assessing the patient for head and other injuries.
c. maintaining immobilization of the cervical spine.
d. assessing the patient's motor and sensory function.
A nurse is caring for a client who experienced a cervical spine injury 3 months ago. Which of the following types of bladder management methods should the nurse use for this client?
a. condom catheter.
b. intermittent urinary catheterization.
c. crede's maneuver.
d. indwelling urinary catheter.
During the patient's process of grieving for the losses resulting from spinal cord injury, the nurse?
a. helps the patient understand that working through the grief will be a lifelong process.
b. should assist the patient to move through all stages of the mourning process to acceptance.
c. lets the patient know that anger directed at the staff or the family is not a positive coping mechanism.
d. facilitates the grieving process so that it is completed by the time the patient is discharged from rehabilitation.
