A tetraplegic patient is in spinal shock. Which assessment finding should the nurse expect?

A client involved in a workplace accident suffered a penetrating wound of the chest that led to acute respiratory failure. What goal of treatment should the care team prioritize when planning this client’s care?

A patient sustains a C5 spinal cord injury which resulted in quadriplegia. Several days after being moved out of the intensive care unit the patient complains of a sudden, severe throbbing headache. What should the nurse do next?

The occupational health nurse is conducting yearly health screenings. An adult client states, “My father had colon cancer, but I really don’t understand why that means that I need a colonoscopy.” What could the nurse do to disseminate information about screening to more individuals?

The nurse is educating a patient with trigeminal neuralgia regarding pain management techniques. What strategies should be included?

A client with Multiple Sclerosis has been admitted to the hospital following an acute exacerbation. When planning the client’s care, the nurse addresses the need to enhance the client’s bladder control. What aspect of nursing care is most likely to meet this goal?

The nursing instructor is teaching nursing students how to assess a patient’s cranial nerve function. What would the instructor teach the students to do?

A nurse is assessing reflexes in a client with hyperactive reflexes. When the client’s foot is abruptly dorsiflexed, it continues to “beat” two to three times before settling into a resting position. How should the nurse document this finding?

An elderly woman found on the floor in her home was admitted with a head injury related to frequent falls. She appears fine for a few days and is preparing for discharge when she begins to have neurologic symptomology including severe headache, agitation and restlessness, and speech delays. The nurse prepares for what intervention?

Three sisters decide to have genetic testing done because their mother and their maternal grandmother died of breast cancer. Each of the sisters has the BRCA1 gene mutation. The nurse explains that just because they have the gene does not necessarily mean that they will develop breast cancer. What principle does the nurse use to explain their chances of developing breast cancer?