A Patient with Suspected Spinal Cord and Head Injuries Has

question 26

Multiple Choice

A patient with suspected spinal cord and head injuries has a Glasgow Coma Scale score of 15; blood pressure 130/82 mm Hg,pulse 102 beats/min,respirations 20 breaths/min,and temperature 98°F (36.6°C) .What is the most important nursing intervention during the initial care of the patient?

• A) Avoid moving the patient.
• B) Check the extremities for range of motion.
• C) Turn the patient to the side to avoid aspiration.
• D) Keep the head of the bed elevated 30 degrees.

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