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6 Cards in this Set

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  • Back

Dark g the time of flaccid paralysis, the nurse must be diligent in performing

Passive ROM exercises

The nurse is caring for a postlaminectomy pt. Which is reported to physician?

Clear drainage of site

After the period of reaction for the spinal cord injured pt. Subsides, the nurse should focus interventions related to altered self concept

PT independence and control

The pt with spinal cord injury has sudden headache, facial flushing and increase of BP. What is the priority nursing action the nurse should take?

Raise pt. Head to 45 degrees

A pt is in the acute phase of spinal cord injury. A problem noted by the nurse is the pt is at risk for disuse syndrome. Which goal is the desired outcome?

Absence of complications of immobility

During the time of flaccid paralysis, the nurse must be diligent in performing

Passive ROM exercises