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32.  A client has an incomplete right spinal cord lesion at…

32.  A client has an incomplete right spinal cord lesion at the level of T7, resulting in Brown-Sequard syndrome.  Which nursing action should be included in the plan of care?

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27.  When caring for a client who is experiencing the acute…

27.  When caring for a client who is experiencing the acute phase of injury to the thoracic spine (above T5).  Which collaborative nursing actions will the nurse include in the plan of care for the client?  Select all that apply

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17.  When assessing the effectiveness of an escharotomy perf…

17.  When assessing the effectiveness of an escharotomy performed for a full thickness or third-degree circumferential arm burn, which finding is the anticipated therapeutic outcome for this client?

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28.  Emergency management of the initial care of a client wi…

28.  Emergency management of the initial care of a client with a spinal cord injury would include the following.  Select the care in the order of highest priority.  Establish IV access Ensure a patent airway Assess for other injuries Administration of oxygen  

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58.  Priority nursing management for a client who has develo…

58.  Priority nursing management for a client who has developed multi-organ dysfunction syndrome (MODS) would include which intervention.

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49. An intubated patient has propofol ordered at 20 mcg/kg/m…

49. An intubated patient has propofol ordered at 20 mcg/kg/min. The concentration of propofol is 10 mg/mL. The patient’s weight is 209 lbs. How many milliliters per hour should the IV pump be programmed for? 

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43. In which order will the nurse perform the following acti…

43. In which order will the nurse perform the following actions when caring for a client with possible CS spinal cord trauma who is admitted to the emergency department?  A. Infuse normal saline at 150 mL/hr. B. Monitor cardiac rhythm and blood pressure C. Administer 02 using a nonrebreather mask. D. Immobilize the client’s head, neck, and spine. E. Transfer the client to radiology for spinal computed tomography (CT).

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53.   An immunocompromised client was bitten by an animal wh…

53.   An immunocompromised client was bitten by an animal who tested positive for rabies.  The nurse should advise the client to receive which additional doses of the rabies vaccine?

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36.  In which order will the nurse take these actions when d…

36.  In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a client’s chest?  A. Apply sterile gauze dressing B. Document wound appearance C. Apply silver sulfadiazine cream D. Administer analgesic Morphine as prescribed E. Clean wound with saline-soaked gauze

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55. The nurse is admitting a client with a basal skull fract…

55. The nurse is admitting a client with a basal skull fracture. The nurse notes ecchymoses around both eyes and clear drainage from the client’s nose. Which admission order should the nurse question?

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