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Download Exam 4: NSG4100 / NSG 4100 (Latest 2025/ 2026 Update) Nursing Practice - Adult Health III and more Exams Nursing in PDF only on Docsity!
Exami,- 4 :i,-NSG4100i,-/i,-NSGi,- 4100 i,-(Latesti,-2025/i,- 2026 i,-
Update)i,-Nursingi,-Practicei,--i,-Adulti,-Healthi,-IIIi,-
Review|i,-Questionsi,-withi,-Verifiedi,-Answers|i,-Gradei,-
A|i,-100%i,-Correct-i,-Galen.
Ai,-nursei,-caringi,-fori,-ai,-clienti,-diagnosedi,-toi,-havei,-headi,-injury.i,-Whichi,-
ofi,-thei,-followingi,-situationsi,-needsi,-interventioni,-byi,-thei,-nurse?
a.i,-Thei,-paddedi,-sidei,-railsi,-up
b.i,-Thei,-bedi,-isi,-adjustedi,-toi,-lowi,-level
c.i,-Thei,-client'si,-spousei,-turnsi,-oni,-thei,-TVi,-onei,-houri,-ini,-thei,-afternooni,-
andi,- 3 i,-hoursi,-ini,-thei,-evening
d.i,-Thei,-headi,-ofi,-bedi,-isi,-elevatedi,-ati,- 30 i,-degreei,-anglei,-i,- i,-C
Thei,-criticali,-carei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-wi,-ai,-headi,-injuryi,-
secondaryi,-toi,-ai,-motorcyclei,-accidenti,-who,i,-oni,-morningi,-rounds,i,-isi,-
responsivei,-toi,-painfuli,-stimulusi,-andi,-assumesi,-decorticatei,-posturing.i,-
Twoi,-hoursi,-later,i,-whichi,-datai,-wouldi,-warranti,-immediatei,-
interventioni,-byi,-thei,-nurse?
a.i,-Thei,-clienti,-hasi,-purposefuli,-movementi,-wheni,-thei,-nursei,-rubsi,-thei,-
sternum
b.i,-Thei,-clienti,-extendsi,-thei,-upperi,-andi,-loweri,-extremitiesi,-ini,-responsei,-
toi,-painfuli,-stimuli
c.i,-Thei,-clienti,-isi,-aimlesslyi,-thrashingi,-ini,-thei,-bedi,-wheni,-ai,-noxiousi,-
stimulii,-isi,-appliedi,-i,- i,-B
Thei,-nursei,-isi,-caringi,-fori,-clientsi,-ini,-thei,-ED.i,-Whichi,-clienti,-shouldi,-thei,-
nursei,-assessi,-first?
a.i,-Thei,-clienti,-wi,-ani,-epidurali,-hematoma
b.i,-Thei,-clienti,-whoi,-hadi,-ai,-seizurei,-whoi,-isi,-ini,-thei,-postictali,-state
c.i,-Thei,-clienti,-diagnosedi,-wi,-R/Oi,-encephalitisi,-whoi,-hasi,-ai,-headache
d.i,-Thei,-clienti,-wi,-multiplei,-sclerosisi,-whoi,-hasi,-scanningi,-speechi,-i,- i,-A
Ai,-femalei,-pti,-hasi,-experiencedi,-ani,-episodei,-ofi,-myasthenici,-crisis.i,-Thei,-
nursei,-wouldi,-assessi,-whetheri,-thei,-pti,-hasi,-precipitatingi,-factorsi,-suchi,-
as:
a.i,-Gettingi,-tooi,-littlei,-exercise
b.i,-Takingi,-excessi,-medication
c.i,-Omittingi,-dosesi,-ofi,-medication
d.i,-Intakei,-ofi,-fattyi,-foodsi,-i,- i,-C
Thei,-pti,-wi,-fibromyalgiai,-isi,-sufferingi,-fromi,-paini,-ati,- 12 i,-ofi,-thei,- 18 i,-
identificationi,-sites,i,-includingi,-thei,-necki,-&i,-upperi,-backi,-&i,-knees.i,-Thei,-
pti,-alsoi,-reportsi,-non-refreshingi,-sleep,i,-depression,i,-&i,-beingi,-anxiousi,-
wheni,-dealingi,-wi,-multiplei,-tasks.i,-Thei,-nursei,-shouldi,-teachi,-thisi,-pti,-
abouti,-whati,-treatments?i,-Selecti,-alli,-thati,-apply:
c.i,-Mannitoli,-(Osmitrol)
d.i,-Spriolactonei,-(Aldactone)i,-i,- i,-C
Thei,-nursei,-isi,-caringi,-fori,-ai,-pti,-whoi,-isi,-postoperativei,-followingi,-ai,-
craniotomy.i,-Wheni,-writingi,-thei,-plani,-ofi,-care,i,-thei,-nursei,-identifiesi,-ai,-
diagnosisi,-ofi,-deficienti,-fluidi,-volumei,-r/ti,-fluidi,-restrictioni,-&i,-osmotici,-
diuretici,-use.i,-Whati,-wouldi,-bei,-ani,-appropriatei,-interventioni,-fori,-thisi,-
diagnosis?
a.i,-changei,-thei,-pt'si,-positioni,-asi,-indicated
b.i,-monitori,-serumi,-electrolytes
c.i,-maintaini,-NPOi,-status
d.i,-monitori,-arteriali,-bloodi,-gasi,-(ABG)i,-valuesi,-i,- i,-B
Ai,-pti,-whoi,-hasi,-beeni,-oni,-long-termi,-phenytoini,-(Dilantin)i,-therapyi,-isi,-
admittedi,-toi,-thei,-unit.i,-Ini,-lighti,-ofi,-thei,-adversei,-ofi,-effectsi,-ofi,-thisi,-
medication,i,-thei,-nursei,-shouldi,-prioritizei,-whichi,-ofi,-thei,-followingi,-ini,-
thei,-pt'si,-plani,-ofi,-care?
a.i,-monitoringi,-ofi,-pulsei,-oximetry
b.i,-administrationi,-ofi,-ai,-low-proteini,-diet
c.i,-administrationi,-ofi,-thoroughi,-orali,-hygiene
d.i,-fluidi,-restrictioni,-asi,-orderedi,-i,- i,-C
Ai,-nursei,-isi,-admittingi,-ai,-pti,-wi,-ai,-severei,-migrainei,-headachei,-andi,-ai,-hxi,-
ofi,-acutei,-coronaryi,-syndrome.i,-Whati,-migrainei,-medicationi,-wouldi,-
thei,-nursei,-questioni,-fori,-thisi,-pt?
a.i,-Rizatriptani,-(Mazalt)
b.i,-naratriptani,-(Amerge)
c.i,-sumatriptani,-succinatei,-(Imitrex)
d.i,-zomitriptani,-(Zomig)i,-i,- i,-C
Thei,-nursei,-isi,-caringi,-fori,-ai,-pti,-wi,-increasedi,-ICP.i,-Thei,-pti,-hasi,-ai,-nursingi,-
dxi,-ofi,-ineffectivei,-cerebrali,-tissuei,-perfusion.i,-Whati,-wouldi,-bei,-ani,-
expectedi,-outcomei,-thati,-thei,-nursei,-wouldi,-documenti,-fori,-thisi,-
diagnosis?
a.i,-copesi,-wi,-sensoryi,-deprivation
b.i,-registersi,-nmli,-bodyi,-temperature
c.i,-paysi,-attentioni,-toi,-grooming
d.i,-obeysi,-commandsi,-wi,-appropriatei,-motori,-responsesi,-i,- i,-D
Ai,-pti,-exhibitingi,-ani,-alteredi,-LOCi,-duei,-toi,-blunt-forcei,-traumai,-toi,-thei,-
headi,-isi,-admittedi,-toi,-thei,-ED.i,-Thei,-physiciani,-determinesi,-thei,-pt'si,-
injuryi,-isi,-causingi,-increasedi,-ICP.i,-Thei,-nursei,-shouldi,-gaugei,-thei,-pt'si,-
LOCi,-oni,-thei,-resultsi,-ofi,-whati,-diagnostici,-tool?
a.i,-Monro-Kelliei,-hypothesis
b.i,-Glasgowi,-Comai,-Scale
a.i,-disorientationi,-andi,-restlessness
b.i,-decreasedi,-pulsei,-andi,-respirations
c.i,-projectilei,-vomiting
d.i,-lossi,-ofi,-corneali,-reflexi,-i,- i,-A
Thei,-neurologici,-ICUi,-nursei,-isi,-admittingi,-ai,-pti,-followingi,-ai,-craniotomyi,-
usingi,-thei,-supratentoriali,-approach.i,-Howi,-shouldi,-thei,-nursei,-besti,-
positioni,-thei,-pt?
a.i,-positioni,-thei,-pti,-supine
b.i,-maintaini,-HOBi,-elevatedi,-ati,- 30 - 45 i,-degrees
c.i,-positioni,-pti,-ini,-pronei,-position
d.i,-maintaini,-bedi,-ini,-Trendelenbergi,-positioni,-i,- i,-B
Ai,-pti,-hasi,-developedi,-diabetesi,-insipidnessi,-afteri,-havingi,-increasedi,-
ICPi,-followingi,-headi,-trauma.i,-Whati,-nursingi,-assessmenti,-besti,-
addressesi,-thisi,-complication?
a.i,-vigilanti,-monitoringi,-ofi,-fluidi,-balance
b.i,-continuousi,-BPi,-monitoring
c.i,-seriali,-arteriali,-bloodi,-gasesi,-(ABGs)
d.i,-monitoringi,-ofi,-thei,-pt'si,-airwayi,-fori,-patencyi,-i,- i,-A
Whati,-wouldi,-thei,-nursei,-suspecti,-wheni,-hourlyi,-assessmenti,-ofi,-UOi,-oni,-
ai,-pti,-postcrainiotomyi,-exhibitsi,-ai,-urinei,-outputi,-fromi,-ai,-catheteri,-ofi,-
1,500mLi,-fori,- 2 i,-consecutivei,-hours?
a.i,-ruchingi,-syndrom
b.i,-syndromei,-ofi,-inappropriatei,-antidiuretici,-hormonei,-(SIADH)
c.i,-adrenali,-crisis
d.i,-diabetesi,-insipidusi,-i,- i,-D
Duringi,-thei,-exami,-ofi,-ani,-unconsciousi,-pt,i,-thei,-nursei,-observesi,-thati,-
thei,-pt'si,-pupilsi,-arei,-fixedi,-andi,-dilated.i,-Whati,-isi,-thei,-mosti,-plausiblei,-
clinicali,-significanti,-ofi,-thei,-nursesi,-finding?
a.i,-iti,-suggestsi,-onseti,-ofi,-metabolici,-problems
b.i,-iti,-indicatesi,-paralysisi,-oni,-thei,-righti,-sidei,-ofi,-thei,-body
c.i,-iti,-indicatesi,-paralysisi,-ofi,-craniali,-nervei,-X
d.i,-iti,-indicatesi,-ani,-injuryi,-ati,-thei,-midbraini,-leveli,-i,- i,-D
Followingi,-ai,-traumatici,-braini,-injury,i,-ai,-pti,-hasi,-beeni,-ini,-ai,-comai,-fori,-
severali,-days.i,-Whichi,-ofi,-thei,-followingi,-statementsi,-isi,-truei,-ofi,-thisi,-pt'si,-
currenti,-LOC?
a.i,-thei,-pti,-occasionallyi,-makesi,-incomprehensiblei,-sounds
b.i,-thei,-pt'si,-currenti,-LOCi,-willi,-likelyi,-becomei,-ai,-permanenti,-state
c.i,-thei,-pti,-mayi,-occasionallyi,-makei,-noni,-purposefuli,-movements
b.i,-hemorrhage
c.i,-pressurei,-ulcers
d.i,-venousi,-thromboembolism
e.i,-pneumoniai,-i,- i,-A,i,-C,i,-D,i,-E
Thei,-nursei,-isi,-caringi,-fori,-ai,-pti,-wi,-ai,-braini,-tumor.i,-Whati,-drugi,-wouldi,-thei,-
nursei,-expecti,-toi,-bei,-orderedi,-toi,-reducei,-thei,-edemai,-surroundingi,-thei,-
tumor?
a.i,-solumedrol
b.i,-dextromethorphan
c.i,-dexamethasone
d.i,-furosemidei,-i,- i,-C
Thei,-nursei,-isi,-caringi,-fori,-ai,-pti,-whoi,-sustainedi,-ai,-moderatei,-headi,-injuryi,-
followingi,-ai,-bicyclei,-accident.i,-Thei,-nursesi,-mosti,-recenti,-assessmenti,-
revealsi,-thati,-thei,-pt'si,-respiratoryi,-efforti,-hasi,-increased.i,-Whati,-isi,-thei,-
nursesi,-mosti,-appropriatei,-response?
a.i,-informi,-thei,-carei,-teami,-andi,-assessi,-fori,-furtheri,-signsi,-ofi,-possiblei,-
increasedi,-ICP
b.i,-administeri,-bronchodilatorsi,-andi,-monitori,-thei,-pt'si,-LOC
c.i,-increasei,-thei,-pt'si,-bedi,-heighti,-andi,-reassessi,-ini,- 30 i,-mins
d.i,-administeri,-ai,-bolusi,-ofi,-normali,-linei,-asi,-orderedi,-i,- i,-A
Ai,-pti,-hasi,-ai,-poori,-prognosisi,-afteri,-beingi,-involvedi,-ini,-ai,-motori,-vehiclei,-
accidenti,-resultingi,-ini,-ai,-headi,-injury.i,-Asi,-thei,-pt'si,-ICPi,-increasesi,-andi,-
conditioni,-worsens,i,-thei,-nursei,-knowsi,-toi,-assessi,-fori,-indicationsi,-ofi,-
approachingi,-death.i,-Thesei,-indicationsi,-includei,-whichi,-ofi,-thei,-
following?
a.i,-hemiplegia
b.i,-dryi,-mucousi,-membranes
c.i,-signsi,-ofi,-internali,-bleeding
d.i,-lossi,-ofi,-braini,-stemi,-reflexesi,-i,- i,-D
Wheni,-caringi,-fori,-ai,-pti,-wi,-increasedi,-ICPi,-thei,-nursei,-knowsi,-thei,-
importancei,-ofi,-monitoringi,-fori,-possiblei,-secondaryi,-complications,i,-
includingi,-syndromei,-ofi,-inappropriatei,-antidiuretici,-hormonei,-
(SIADH).i,-Whati,-nursingi,-interventionsi,-wouldi,-thei,-nursei,-mosti,-likelyi,-
initiatei,-ifi,-thei,-pti,-developedi,-SIADH?
a.i,-fluidi,-restriction
b.i,-transfusioni,-ofi,-platelets
c.i,-transfusioni,-ofi,-freshi,-frozeni,-plasmai,-(FFP)
d.i,-electrolytei,-restrictioni,-i,- i,-A
Ai,-pti,-isi,-recoveringi,-fromi,-ani,-intracraniali,-surgeryi,-performedi,-
approximatelyi,- 24 i,-hrsi,-agoi,-andi,-isi,-complainingi,-ofi,-ai,-headachei,-thati,-
b.i,-encouragingi,-independencei,-wi,-ADLsi,-toi,-promotei,-recovery
c.i,-earlyi,-initiationi,-ofi,-physicali,-therapy
d.i,-absolutei,-bedi,-resti,-ini,-ai,-quiet,i,-noni,-stimulatingi,-environmenti,-i,- i,-D
Ai,-pti,-hasi,-beeni,-admittedi,-toi,-thei,-ICUi,-afteri,-beingi,-recentlyi,-diagnosedi,-
wi,-ani,-aneurysmi,-andi,-thei,-pt'si,-admissioni,-ordersi,-includei,-specifici,-
aneurysmi,-precautions.i,-Whati,-nursingi,-actioni,-willi,-thei,-nursei,-
incorporatei,-intoi,-thei,-pt'si,-plani,-ofi,-care?
a.i,-elevatei,-thei,-HOBi,-toi,- 45 i,-degrees
b.i,-maintaini,-thei,-pti,-oni,-completei,-bedi,-rest
c.i,-administeri,-enemasi,-wheni,-thei,-pti,-isi,-constipated
d.i,-avoidi,-usei,-ofi,-thigh-highi,-elastici,-compressioni,-stockingsi,-i,- i,-B
Ai,-pti,-diagnosedi,-wi,-ai,-cerebrali,-aneurysmi,-reportsi,-ai,-severei,-HAi,-toi,-thei,-
nurse.i,-Whati,-actioni,-isi,-ai,-priorityi,-fori,-thei,-nurse?
a.i,-siti,-wi,-thei,-pti,-fori,-ai,-fewi,-minutes
b.i,-administeri,-ani,-analgesic
c.i,-informi,-thei,-nurse-manager
d.i,-calli,-thei,-physiciani,-immediatelyi,-i,- i,-D
Wheni,-caringi,-fori,-ai,-pti,-whoi,-hasi,-hadi,-ai,-stroke,i,-ai,-priorityi,-isi,-reductioni,-
ofi,-ICP.i,-Whati,-pti,-positioni,-isi,-mosti,-consistenti,-wi,-thisi,-goal?
a.i,-headi,-turnedi,-slightlyi,-toi,-thei,-Ri,-side
b.i,-elevationi,-ofi,-HOB
c.i,-positioni,-changesi,-q15mini,-whilei,-awake
d.i,-extensioni,-ofi,-necki,-i,- i,-B
Afteri,-ai,-subarachnoidi,-hemorrhage,i,-thei,-patient'si,-laboratoryi,-resultsi,-
indicatei,-ai,-serumi,-sodiumi,-leveli,-ofi,-lessi,-thani,- 126 i,-mEq/L.i,-Whati,-isi,-thei,-
nurse'si,-mosti,-appropriatei,-action
a.i,-administeri,-ai,-bolusi,-ofi,-normali,-salinei,-asi,-ordered
b.i,-preparei,-pti,-fori,-thrombolytici,-therapyi,-asi,-ordered
c.i,-facilitatei,-testingi,-fori,-hypothalamici,-dysfunction
d.i,-preparei,-toi,-administeri,-3%i,-NaCli,-byi,-IVi,-asi,-orderedi,-i,- i,-D
Followingi,-diagnostici,-testing,i,-ai,-pti,-hasi,-beeni,-admittedi,-toi,-thei,-ICUi,-
andi,-placedi,-oni,-cerebrali,-aneurysmi,-precautions.i,-Whati,-nursingi,-
actioni,-shouldi,-bei,-includedi,-ini,-pt'si,-plani,-ofi,-care?
a.i,-supervisei,-thei,-pt'si,-activitiesi,-ofi,-dailyi,-livingi,-closely
b.i,-initiatei,-earlyi,-ambulationi,-toi,-preventi,-complicationsi,-ofi,-immobility
c.i,-providei,-ai,-high-calorie,i,-low-proteini,-diet
d.i,-performi,-alli,-ofi,-thei,-pt'si,-hygienei,-andi,-feedingi,-i,- i,-A
c.i,-HTN
d.i,-bradypneai,-i,- i,-A
Ai,-pti,-isi,-broughti,-toi,-thei,-EDi,-byi,-heri,-familyi,-afteri,-fallingi,-offi,-thei,-roof.i,-Ai,-
familyi,-memberi,-tellsi,-thei,-nursei,-thati,-wheni,-thei,-pti,-fell,i,-shei,-wasi,-
knockedi,-out,i,-buti,-camei,-backi,-andi,-seemedi,-okay.i,-Nowi,-shei,-isi,-c/oi,-ai,-
severei,-HAi,-andi,-noti,-feelingi,-well.i,-Thei,-carei,-teami,-suspectsi,-ani,-
epidurali,-hematoma,i,-promptingi,-thei,-nursei,-toi,-preparei,-fori,-whichi,-
priorityi,-intervention?
a.i,-insertioni,-ofi,-ani,-intracraniali,-monitoringi,-device
b.i,-treatmenti,-wi,-antihypertensives
c.i,-emergencyi,-craniotomy
d.i,-administrationi,-ofi,-anticoagulanti,-therapyi,-i,- i,-C
Thei,-staffi,-educatori,-isi,-precastingi,-ai,-nursei,-newi,-toi,-thei,-criticali,-carei,-
uniti,-wheni,-ai,-pti,-wi,-ai,-T2i,-spinali,-cordi,-injuryi,-isi,-admitted.i,-Thei,-pti,-isi,-
sooni,-exhibitingi,-manifestationsi,-ofi,-neurogenici,-shock.i,-Ini,-additioni,-
toi,-monitoringi,-thei,-pti,-closely,i,-whati,-wouldi,-bei,-thei,-nursesi,-mosti,-
appropriatei,-action?
a.i,-preparei,-toi,-transfusei,-packedi,-redi,-bloodi,-cells
b.i,-preparei,-fori,-interventionsi,-toi,-increasei,-thei,-pt'si,-BP
c.i,-placei,-thei,-pti,-ini,-thei,-Trendelenbergi,-position
d.i,-preparei,-ani,-icei,-bathi,-toi,-loweri,-corei,-bodyi,-temperaturei,-i,- i,-B
Ani,-EDi,-nursei,-hasi,-justi,-receivedi,-ai,-calli,-fromi,-EMSi,-thati,-theyi,-arei,-
transportingi,-ai,- 17 i,-y/oi,-mani,-whoi,-hasi,-justi,-sustainedi,-ai,-spinali,-cordi,-
injuryi,-(SCI).i,-Thei,-nursei,-recognizesi,-thati,-thei,-mosti,-commoni,-causei,-ofi,-
thisi,-typei,-ofi,-injuryi,-isi,-what?
a.i,-sports-relatedi,-injuries
b.i,-actsi,-ofi,-violence
c.i,-injuriesi,-duei,-toi,-ai,-fall
d.i,-motori,-vehiclei,-accidentsi,-i,- i,-D
Ai,-pti,-wi,-spinali,-cordi,-injuryi,-hasi,-ai,-nursingi,-dxi,-ofi,-alteredi,-mobilityi,-&i,-
thei,-nursei,-recognizesi,-thei,-increasedi,-riski,-fori,-DVT.i,-Whichi,-ofi,-thei,-
followingi,-wouldi,-bei,-includedi,-asi,-ani,-appropriatei,-nursingi,-
interventioni,-toi,-preventi,-ai,-DVTi,-fromi,-occurring?
a.i,-pacingi,-thei,-pti,-oni,-ai,-fluidi,-restrictioni,-asi,-ordered
b.i,-applyingi,-thigh-highi,-elastici,-stockings
c.i,-administeringi,-ani,-antifibriolyici,-agent
d.i,-assistingi,-thei,-pti,-wi,-passivei,-ROMi,-exercisesi,-i,- i,-B
Paramedicsi,-havei,-broughti,-ani,-intubatedi,-pti,-toi,-thei,-EDi,-followingi,-ai,-
headi,-injuryi,-duei,-toi,-acceleration-decelerationi,-MVA.i,-Increasedi,-ICPi,-
isi,-suspected.i,-Appropriatei,-nursingi,-interventionsi,-wouldi,-includei,-
whichi,-ofi,-thei,-following?
Ai,-pti,-wi,-ai,-headi,-injuryi,-hadi,-beeni,-increasinglyi,-agitatedi,-&i,-thei,-nursei,-
hasi,-consequentlyi,-identifiesi,-ai,-riski,-fori,-injury.i,-Whati,-isi,-thei,-nursesi,-
besti,-interventioni,-fori,-preventingi,-injury?
a.i,-restraini,-thei,-pti,-asi,-ordered
b.i,-administeri,-opioidsi,-PRNi,-asi,-ordered
c.i,-arrangei,-fori,-friendsi,-&i,-familyi,-membersi,-toi,-siti,-wi,-thei,-pt
d.i,-padi,-thei,-sidei,-railsi,-ofi,-thei,-pt'si,-bedi,-i,- i,-D
Ai,-pti,-wi,-ai,-C5i,-spinali,-cordi,-injuryi,-isi,-tetraplegic.i,-Afteri,-beingi,-movedi,-
outi,-ofi,-thei,-ICU,i,-thei,-pti,-c/oi,-severi,-throbbingi,-HA.i,-Whati,-shouldi,-thei,-
nursei,-doi,-first?
a.i,-checki,-thei,-pt'si,-indwellingi,-urinaryi,-catheteri,-fori,-kinksi,-toi,-ensurei,-
patecny
b.i,-loweri,-thei,-HOBi,-toi,-improvei,-perfusion
c.i,-administeri,-analgesia
d.i,-reassurei,-thei,-pti,-thati,-headachesi,-arei,-expectedi,-afteri,-spinali,-cordi,-
injuriesi,-i,- i,-A
Ai,-pti,-isi,-admittedi,-toi,-thei,-neurologici,-ICUi,-wi,-ai,-spinali,-cordi,-injury.i,-
Wheni,-assessingi,-thei,-pti,-thei,-nursei,-notesi,-therei,-isi,-ai,-suddeni,-
depressioni,-foi,-reflexi,-activityi,-ini,-thei,-spinali,-cordi,-belowi,-thei,-leveli,-ofi,-
injury.i,-Whati,-shouldi,-thei,-nursei,-suspect?
a.i,-epidurali,-hemorrhage
b.i,-hypertensivei,-emergency
c.i,-spinali,-shock
d.i,-hypovolemiai,-i,- i,-C
Ani,-elderlyi,-womani,-foundi,-wi,-ai,-headi,-injuryi,-oni,-thei,-floori,-ofi,-heri,-homei,-
isi,-subsequentlyi,-admittedi,-toi,-thei,-neurologici,-ICU.i,-Whati,-isi,-thei,-besti,-
rationalei,-fori,-thei,-followingi,-physiciani,-orders:i,-elevatei,-thei,-HOB;i,-
keepi,-thei,-headi,-ini,-neutrali,-alignmenti,-wi,-noi,-necki,-flexioni,-ori,-headi,-
rotation;i,-avoidi,-sharpi,-hipi,-flexion?
a.i,-toi,-decreasei,-cerebrali,-arteriali,-pressure
b.i,-toi,-avoidi,-impedingi,-venousi,-outflow
c.i,-toi,-preventi,-flexioni,-contractures
d.i,-toi,-preventi,-aspirationi,-ofi,-stomachi,-contentsi,-i,- i,-B
Ai,-pti,-wi,-ai,-T12i,-isi,-ini,-spinali,-shock.i,-Thei,-nursei,-willi,-expecti,-toi,-observei,-
whati,-assessmenti,-finding?
a.i,-absencei,-ofi,-reflexesi,-alongi,-wi,-flaccidi,-extremities
b.i,-positivei,-Babinskisi,-reflexi,-alongi,-wi,-spastici,-extremities
c.i,-hyperreflexiai,-alongi,-wi,-spastici,-extremities
d.i,-spasticityi,-ofi,-alli,- 4 i,-extremitiesi,-i,- i,-A
