A Patient with a Spinal Cord Injury (SCI) Has a Nursing

question 4

Multiple Choice

A patient with a spinal cord injury (SCI) has a nursing diagnosis of Risk for Ineffective Tissue Perfusion related to the effects of neurogenic shock. The nurse includes which intervention in the patient's plan of care?. Select all that apply.

• A) Fit the patient for an abdominal binder and thigh-length compression stockings.
• B) Monitor administration of atropine and other vasoactive agents as ordered or by protocol.
• C) Administer anticoagulant medication as ordered.
• D) Measure and record the diameter of the calf every shift.
• E) Measure and record intake and output.

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