Page 461 - Critical Care Nursing Demystified

446 CRITICAL CARE NURSING DeMYSTIFIED

10. A patient is admitted with a spinal cord injury (SCI) from an axial loading injury
from diving into a swimming pool head first. The nurse’s FIRST priority nursing
diagnosis for this patient would be
A. Risk for decreased cardiac output due to lack of innervation of the spinal
column
B. Impaired gas exchange due to inhalation of pool water
C. Risk for altered tissue perfusion (spinal) due to lack of spinal cord innervation to
the extremities
D. Risk for ineffective breathing pattern due to swelling of the cord and lack of
innervation to respiratory centers

Chapter 7

1. A patient is scheduled for discharge after having been treated for an adrenal
crisis. Which comments by the patient indicate that she understood the nurse’s
discharge teaching instructions? Select all that apply.
A. “I must take my steroids for 10 days.”
B. “I must weigh myself every day to make sure I do not eat too many calories.”
C. “I must notify my physician prior to any dental work.” Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
D. “If I feel weak or dizzy, I must call my doctor.”
E. “I will not be concerned if I feel like I have the flu.”
F. “I need to obtain and wear a Medic Alert bracelet.”

2. The nurse understands that the anatomic feature controlling pituitary function
in the patient is (are) the
A. Midbrain
B. Pons
C. Adrenal glands
D. Hypothalamus

3. A nurse’s first-line treatment measures administered to a patient during an
Addison’s crisis include all EXCEPT
A. Blood glucose management
B. Intravenous hydrocortisone
C. Antihypertensive medications
D. Intravenous fluid replacement