NUR 347 Exam 3 Practice Questions and Correct Answers
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Course
NUR 347
Institution
NUR 347
Solumedrol (methylprednisolone) A 19 year old man is admitted to the ED with a C6 SCI after a motorcycle crash. Which medication should the nurse anticipate that she will administer first?
urinary catheterization Which intervention should the RN perform in the acute care of a pt with a autonomic d...
NUR 347 Exam 3 Practice Questions and
Correct Answers
Solumedrol (methylprednisolone) ✅A 19 year old man is admitted to the ED with a C6
SCI after a motorcycle crash. Which medication should the nurse anticipate that she will
administer first?
urinary catheterization ✅Which intervention should the RN perform in the acute care of
a pt with a autonomic dysreflexia?
infarction & necrosis of the cord causes by edema, hemorrhage, & metabolites ✅What
causes an initial incomplete SCI to result in complete cord damage?
teach the pt how to self catheterize ✅A pt with paraplegia resulting from a T-10 spinal
cord injury has a neurogenic reflex bladder. which action will the nurse include in the
plan of care?
"I will perform self-catheterization at least six times per day." ✅The nurse performs
discharge teaching for a 34 year old male pt with a T2 spinal cord injury resulting from a
construction accident. Which statement, if made by the pt to the nurse, indicates that
teaching about recognition & management of autonomic dysreflexia is successful?
HR of 42 bpm ✅a pt is admitted to the ED with a SCI at the level of T2. which finding is
of most concern to the RN?
1. immobilize the pts head, neck, spine
2. administer O2 using a non-rebreather mask
3. monitor cardiac rhythm & BP
4. infuse normal saline at 150mL.hr
5. transfer pt to radiology for spinal CT ✅in which order will the RN perform the
following actions when caring for a pt with possible C6 SCI who is admitted to the ED?
throbbing headache ✅RN is caring for a pt admitted 1 week earlier with an acute SCI.
which assessment finding alerts the RN to the presence of autonomic dysreflexia?
Bradycardia ✅which manifestation do you interpret as respresenting neurogenic shock
in a pt with acute SCI?
Maintaining a patent airway ✅priority decision: a pt is admitted to the ED with a
possible cervical SPI following an automobile crash. During admission of the pt, what is
the highest priority for the RN?
, loss of sympathetic nervous system innervation resulting in peripheral vasodilation ✅a
pt is admitted to the hospital with a C4 SCI after a motorcycle collision. The pts BP is
83/49mHg and pulse is 39bpm. He remains orally intubated. What is the cause of this
pathophysiologic response?
Ineffective airway clearance due to high cervical SCP ✅when planning care for a pt
with a C5 spinal cord injury, which nursing dx is the highest priority
Take the pts BP ✅A pt with a C7 SCI undergoing rehab tells you he must have the flu
because he has a bad headache & nausea. What is your initial action?
a BP of 88/6o mmHg, pulse of 56 bpm ✅which is most important to respond to in a pt
presenting with a T3 SCI
hypotension, bradycardia, warm extremities ✅a pt with a neck fracture at the C5 level
is admitted to the intensive care unit. during initial assessment of the pt, the RN
recognizes the presence of neurogenic shock on finding
The left calf is 5cm larger that the right calf ✅one month after SCI, which finding is
most important for you to monitor?
adolescent & young adult men ✅In planning community education for prevention of
SCI, what group should the RN target>
respiratory diaphragmatic breathing ✅Priority decision: the pt was in a traffic collision &
is experiencing loss of function below C4. which effect must the RN be aware of to
provide priority care for the pt
eat 20-30 grams of fiber per day & drink 1800-2000 mL of water or juice ✅A 68 year
old pt with a SCI has a neurogenic bowel. beyond the use of bisacodyl (Ducolax)
suppositories & digital stimulation, which measures should the RN teach the pt &
caregiver to assist the pt with bowel evacuation
assessment of respiratory rate & depth ✅when caring for a pt who was admitted 24 hrs
previously with a C5 SCI, which nursing action has the highest priority
Leg strength & sensation ✅to evaluate the effectiveness of IV methylprednisoloe
(solumedrol) given to a pt with a T4 SCI, which information is most important for the
nurse to obtain?
urinary catheterization ✅Which intervention should the RN perform in the acute care of
a pt with autonomic dysreflexia
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