18.The nurse is caring for a home health patient who had a spinal cord injury at C5 three years ago. The nurse bases the plan of care on the knowledge that the patient will be able to:a.feed self with setup and adaptive equipment.b.transfer self to wheelchair.c.stand erect with full leg braces.d.sit with good balance.ANS: AA cord injury at C5 allows for ability to drive an electric wheelchair with mobile hand supports and feed self with adaptive equipment.
DIF:Cognitive Level: AnalysisREF:Page 730,, Table 14-8OBJ:30TOP:Spinal cord injuryKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity19.A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition?
DIF:Cognitive Level: ApplicationREF:Page 729OBJ:20TOP:TraumaKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity20.A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and “goose flesh.” What should be the primary nursing intervention based on these assessments?
DIF:Cognitive Level: AnalysisREF:Page 729-731, Box 14-4OBJ:20TOP:DysreflexiaKEY:Nursing Process Step: InterventionMSC:NCLEX: Physiological Integrity21.The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to: