Which of the following actions should the nurse first take if a client with spinal cord injury at T3 complains of a sudden severe headache, nasal congestion, flushed skin, and goose-bumps?

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NCLEX Questions for Neurological System Questions

Question 1 of 5

Which of the following actions should the nurse first take if a client with spinal cord injury at T3 complains of a sudden severe headache, nasal congestion, flushed skin, and goose-bumps?

A. Raise the client's head B. Place the client on a firm mattress C. Call the physician D. Administer an analgesic to relieve the pain

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

During neurologic assessment of the older adult, what should the nurse expect to find?

A. Absent deep tendon reflexes B. Below-average intelligence score C. Decreased sensation of touch and temperature D. Decreased frequency of spontaneous awakening

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

What causes an initial incomplete spinal cord injury to result in complete cord damage?

A. Edematous compression of the cord above the level of the injury B. Continued trauma to the cord resulting from damage to stabilizing ligaments C. Infarction and necrosis of the cord caused by edema, hemorrhage, and metabolites D. Mechanical transection of the cord by sharp vertebral bone fragments after the initial injury

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient with paraplegia has developed an irritable bladder with reflex emptying. What will be most helpful for the nurse to teach the patient?

A. Hygiene care for an indwelling urinary catheter B. How to perform intermittent self-catheterization C. To empty the bladder with manual pelvic pressure in coordination with reflex voiding patterns D. That a urinary diversion, such as an ileal conduit, is the easiest way to handle urinary elimination

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

On observation of the patient, the nurse notes the presence of a gait disturbance. How should the nurse further evaluate the patient?

A. Palpate the hips for crepitation B. Measure the length of the limbs C. Evaluate the degree of leg movement D. Compare the muscle mass of one leg with the other

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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