When Caring for a Patient Who Had a C8 Spinal

question 29

Multiple Choice

When caring for a patient who had a C8 spinal cord injury 10 days ago and has a weak cough effort, bibasilar crackles, and decreased breath sounds, the initial intervention by the nurse should be to

• A) administer oxygen at 7 to 9 L/min with a face mask.
• B) place the hands on the epigastric area and push upward when the patient coughs.
• C) encourage the patient to use an incentive spirometer every 2 hours during the day.
• D) suction the patient's oral and pharyngeal airway.

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Definitions:

Subcutaneous Tissue

The innermost layer of the skin, consisting of fat and connective tissues that house larger blood vessels and nerves, providing insulation and protection to the body.

Epidermis

The outermost layer of skin that provides a waterproof barrier and creates our skin tone.

Dermis

The thick layer of living tissue below the epidermis that forms the true skin, containing hair follicles, sweat glands, and other structures.

Appendicular

Pertaining to limbs or appendages of the body, particularly the bones of the limbs and the structures associated with them.