Spinal Cord Injury - At the Scene All of Jonathan's friends...

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At the Scene All of Jonathan's friends are standing around him, unsure about what to do. They are afraid that he is badly hurt. Jonathan thinks it is just a temporary sting and states that he will be all right in a few minutes. One of the men calls 911 on a cell phone. 1. What should Jonathan's friends do while waiting for emergency personnel to arrive? A) Help Jonathan move his legs and assist him to sit up. INCORRECT No one should help Jonathan move his legs or assist him. B) Place a blanket over Jonathan and make sure no one moves him. CORRECT Any movement or improper handling could cause further damage and loss of neurological function. C) Attempt to stabilize his neck with any type of soft material. INCORRECT Any attempt to manipulate the neck could cause further damage and loss of neurological function. D) Carefully put Jonathan in the back of a truck with one man holding his neck. INCORRECT Any action that manipulates the neck could cause further damage and loss of neurological function. Points Earned: 0.0/1.0 Correct Answer(s): B An ambulance arrives within a few minutes. Two paramedics and an Emergency Department (ED) nurse on a "ride-along" quickly take control of the situation. The nurse assists the paramedics as they prepare Jonathan for transport to the trauma center. 2. If respiratory compromise occurs, what action should the nurse take to keep the airway open without compromising Jonathan's spine further? INCORRECT
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This action would be used to move an injured person from a prone position to supine if respiratory compromise occurs. It is not the best way to open the airway of a person who is already in the supine position. CORRECT The jaw-thrust is the safest first approach to opening the airway of a casualty who has a suspected neck injury because in most cases it can be accomplished without extending the neck. INCORRECT This action could cause further damage to the spinal cord as it stretches the back of the neck. INCORRECT This technique causes extension of the neck and could cause further damage. Points Earned: 1.0/1.0 Correct Answer(s): B Keeping the head, neck, and spinal column in a neutral position, the paramedics and the nurse apply a cervical collar and place Jonathan on a scoop stretcher. A large bore IV is started and oxygen is applied at 8 liters/minute using nasal prongs. Jonathan is transported to the trauma center via ambulance. Clinical Manifestations When Jonathan is admitted to the emergency department, the trauma nurse performs a neurological assessment.
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  • Spring '14
  • Ferguson
  • Nursing, Correct Answer

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