Emergencies and Nursing Disaster. Case study

Welcome to your Emergencies and Nursing Disaster. Case study

Question 1 of 6 MC ND Case study

John, a 28-year-old man, sustained a spinal cord injury (SCI) in a motor vehicle accident. He was admitted to the trauma unit with paralysis below the level of injury, loss of sensation, and impaired respiratory function. His initial assessment reveals a thoracic SCI at T6.
What assessment finding is consistent with John's thoracic SCI at T6?

Paraplegia with loss of sensation only on the legs.

Quadriplegia with impaired upper and lower extremity motor function.

Loss of sensation and motor function in the upper and lower extremities.

Hemiplegia with preservation of upper extremity function.

Monoplegia with intact sensation and motor function in the limbs.

Diplegia with symmetrical weakness affecting both upper and lower extremities.

Tetraplegia with preservation of lower extremity motor function.

Question 2 of 6 MC ND Case study

John, a 28-year-old man, sustained a spinal cord injury (SCI) in a motor vehicle accident. He was admitted to the trauma unit with paralysis below the level of injury, loss of sensation, and impaired respiratory function. His initial assessment reveals a thoracic SCI at T6.
Which interventions are appropriate and which are not in the acute management of John's thoracic SCI?

	Appropriate	Not appropriate
Administering prophylactic antibiotics.
Immobilizing the spine using a cervical collar.
Initiating mechanical ventilation if respiratory function is compromised.
Administering anticoagulants to prevent deep vein thrombosis.
Providing high-dose corticosteroids as prescribed
Applying ice to the injured area.

Question 3 of 6 MC ND Case study

John, a 28-year-old man, sustained a spinal cord injury (SCI) in a motor vehicle accident. He was admitted to the trauma unit with paralysis below the level of injury, loss of sensation, and impaired respiratory function. His initial assessment reveals a thoracic SCI at T6.
In caring for John with a thoracic SCI, which of the following positions should the nurse avoid due to the risk of complications?

Question 4 of 6 MC ND Case study

John, a 28-year-old man, sustained a spinal cord injury (SCI) in a motor vehicle accident. He was admitted to the trauma unit with paralysis below the level of injury, loss of sensation, and impaired respiratory function. His initial assessment reveals a thoracic SCI at T6.
Which interventions are indicated and contraindicated for preventing complications in John with a thoracic SCI?

	Indicated	Contraindicated
Frequent turning and repositioning.
Administering regular laxatives to prevent constipation.
Encouraging deep breathing and coughing exercises.
Initiating weight-bearing exercises.
Monitoring for nasal congestion
Restricting fluid intake to prevent urinary retention.

Question 5 of 6 MC ND Case study

John, a 28-year-old man, sustained a spinal cord injury (SCI) in a motor vehicle accident. He was admitted to the trauma unit with paralysis below the level of injury, loss of sensation, and impaired respiratory function. His initial assessment reveals a thoracic SCI at T6.
In the treatment of pulmonary complications and injury in John, which nursing intervention is vital to prevent respiratory complications?

Encouraging John to engage in physical exercises to improve lung capacity.

Administering sedatives to promote rest and minimize respiratory effort.

Maintaining a consistent schedule for turning and repositioning.

Providing John with a firm mattress to promote proper spinal alignment.

Restricting fluid intake to prevent urinary incontinence.

Avoiding the use of incentive spirometry to prevent fatigue.

Elevating the head of the bed to at least 30 degrees.

Administering oxygen therapy during sleep time.

Question 6 of 6 MC ND Case study

John, a 28-year-old man, sustained a spinal cord injury (SCI) in a motor vehicle accident. He was admitted to the trauma unit with paralysis below the level of injury, loss of sensation, and impaired respiratory function. His initial assessment reveals a thoracic SCI at T6.
Which signs may indicate a positive response to treatment and nursing care for John, who is receiving interventions for pulmonary complications?

	Positive response
Increased activity of reflexes.
Clear lung sounds and improved oxygen saturation.
Increased reliance on mechanical ventilation.
Increasing blood pressure and heart rate
Increased fluid intake and urinary continence
Development of pressure ulcers on bony prominences.
Decreased ability to independently perform deep breathing exercises.
Decreased frequency of chest percussion.

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