Chapter 68: Management of Patients With Neurologic Trauma 2

loss of motor power and sensation in the upper extremities.

A patient was admitted to a rehabilitation unit for treatment of a spinal cord injury. The admitting diagnosis is central cord syndrome. During an admissions physical, the nurse expects to find:

Paresthesia

A client presents to the emergency department stating numbness and tingling occurring down the left leg into the left foot. When documenting the experience, which medical terminology would the nurse be most correct to report?

T6

Autonomic dysreflexia can occur with spinal cord injuries above which of the following levels?

Ecchymosis over the mastoid

The nurse working on the neurological unit is caring for a client with a basilar skull fracture. During assessment, the nurse expects to observe Battle's sign, which is a sign of basilar skill fracture. Which of the following correctly decribes Battle's sign?

famotidine (Pepcid).

Three hours after injuring the spinal cord at the C6 level, a client receives high doses of methylprednisolone sodium succinate (Solu-Medrol) to suppress breakdown of the neurologic tissue membrane at the injury site. To help prevent adverse effects of this drug, the nurse expects the physician to order:

Subdural hematoma

Which condition occurs when blood collects between the dura mater and arachnoid membrane?

Change in level of consciousness (LOC)

Which of the following is the earliest sign of increasing intracranial pressure (ICP)?

Monitoring is needed as rapid neurologic deterioration may occur.

A nurse is reviewing a CT scan of the brain, which states that the client has arterial bleeding with blood accumulation above the dura. Which of the following facts of the disease progression is essential to guide the nursing management of client care?

Lung auscultation and measurement of vital capacity and tidal volume

A client with weakness and tingling in both legs is admitted to the medical-surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission, which assessment is most important for this client?

Maintain a diet for the client that is high in protein, vitamins, and calories.

A client with tetraplegia cannot do his own skin care. The nurse is teaching the caregiver about the importance of maintaining skin integrity. Which of the following will the nurse most encourage the caregiver to do?