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Practice Question

The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this level of injury?

Answer Choices:

Correct Answer:

Respiratory compromise

Rationale:

🔷 An injury at the C3 spinal cord level affects the phrenic nerve, which innervates the diaphragm, the primary muscle of respiration.

🔷 Paralysis of the diaphragm leads to respiratory failure, making mechanical ventilation necessary.

🔷 Respiratory complications like hypoventilation, atelectasis, or pneumonia are the leading causes of death in high cervical injuries.

🔷 These clients require aggressive pulmonary care and often long-term ventilator support.

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This question is from RN ATI MedSurg~300 Final Exam which contains 71 questions.

More Questions from This Exam
The nurse is preparing discharge teaching for a client newly diagnosed with cancer who just had a tunneled IV catheter (Hickman) placed. The nurse would include which information in the teaching plan regarding signs and symptoms of infection?

Answer Choices:

A. Notify the primary care provides with increased urine output
B. Assess daily for redness. swelling or exudate at insertion site weekly
C. The primary care provider will monitor hemoglobin and a hematocrit values
D. To maintain patency, the catheter should be flushed weekly using a 5 ml syringe
The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease's progress?

Answer Choices:

A. Hypertension treated with medications
B. Prostate surgery six months prior
C. Use of intravenous substances
D. Stroke diagnosed one year ago
The client Is in the intensive care unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)

Answer Choices:

A. Assess the respiratory status hourly and as needed
B. Ensure that a manual resuscitation bag is at the bedside
C. Check the patient's pulse co once every shift
D. Adjust the ventilator settings based on the client's level of consciousness
E. Collaborate frequently with the respiratory therapist
From Exam
RN ATI MedSurg~300 Final Exam

71 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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