ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a C3 spinal cord injury.
Question 1 of 5
When planning care for a client with a C3 spinal cord injury, which of the following will the nurse identify as the priority ongoing assessment?
Correct Answer: C
Rationale: The correct answer is C: Counting respirations. In a client with a C3 spinal cord injury, respiratory function can be severely compromised due to the level of the injury affecting the diaphragm and intercostal muscles. Monitoring respirations is crucial to detect any signs of respiratory distress or failure. This assessment is the priority as it directly impacts the client's ability to breathe and maintain oxygenation. Urinary output (
A), blood pressure (
B), and bowel sounds (
D) are important assessments in spinal cord injuries, but in a C3 injury, respiratory assessment takes precedence due to the risk of respiratory compromise.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: