Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A 50-year-old male patient was admitted at the intensive care unit after a traumatic compressed spinal cord injury at the level of T6 and T7 and had above-the-knee amputation. A clinical nurse specialist is to perform an assessment to validate what she has learned from her senior nurse during the endorsement and would expect to observe that the patient is experiencing:
  1. Pain at the level of compression
  2. Difficulty breathing
  3. Spastic paralysis of the extremities
  4. Severe pain in the amputation site
Explanation
Answer - A - A clinical nurse specialist is to perform an assessment to validate what she has learned from her senior nurse during the endorsement and would expect to observe that the patient is experiencing pain at the level of compression. Pain is brought by the injury and pressure at the nerve roots. Paralysis could be true, but it is initially a flaccid type of paralysis.
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