30. A client admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse, “I have a pounding headache and l feel sick to my stomach ” Which action should the nurse take first?  

4. The nurse estimates the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the anterior right arm, entire left arm and anterior left leg. What percentage of the client’s total body surface area (TBSA) has been injured?  

34. A client with a T4 spinal cord injury asks the nurse if he will be able to be sexually active. Which initial response by the nurse is most therapeutic?

57.  The nurse is caring for a child with protracted vomiting, tachycardia, hypoglycemia and rash.  Reye syndrome is to be ruled out.  The nurse should provide education to the parent to avoid giving the child which medication ?

35. A client with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?

15. A client has just arrived in the emergency department after an extensive electrical burn from exposure to a high-voltage current. Which of these prescribed interventions should the nurse implement first? 

54.  The nurse would provide what explanation to a client about a cervical traction device following a spinal cord injury?

44. The nurse is assessing a client with ecchymosis for a basilar skull fracture.  The nurse should assess which area for potential confirmation of this type of injury in the client?     

3.  A client is admitted to the burn center with burns of his head, neck, chest and back after explosion in his garage.  On assessment, the nurse auscultates wheezes throughout the lung fields.  On reassessment, the wheezes are gone, and the breath sounds are greatly diminished.  Which two actions are most appropriate for the nurse to take next?  

The nurse receives report on an infant presenting with necrotizing enterocolitis (NEC). Which of the following manifestations would the nurse expect to find during their assessment? Select all that apply