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A patient with a spinal cord injury at T7 tells the nurse that they now have a pounding headache. The nurse should
27 comments · newest first
KA
Kati
5 months ago
But we should rule out A first. Headaches can indicate something serious.
GO
Goldie
5 months ago
I’m leaning towards B. Acetaminophen could help with the headache.
AA
Aaron
5 months ago
I agree with A. It’s a common issue in spinal cord injuries.
TU
Tuyet
6 months ago
I think A is the best choice. Bladder distension can cause headaches.
AL
Allene
6 months ago
Totally agree, bladder issues are often overlooked in these cases.
TE
Terrilyn
6 months ago
Really? A headache from T7 injury? Sounds odd to me.
MA
Margot
6 months ago
I think acetaminophen is too basic for this situation.
AR
Arlette
6 months ago
Definitely check for bladder distension first!
YU
Yuette
6 months ago
A pounding headache can be a sign of autonomic dysreflexia.
SC
Scot
7 months ago
If the patient's headache is as bad as mine after studying for this exam, they deserve a whole bottle of acetaminophen!
BE
Belen
7 months ago
I bet the patient's headache is pounding as hard as their bladder right now. Time to check for some distension!
NI
Nicholle
7 months ago
D) perform a stroke assessment? Really? I don't think a spinal cord injury at T7 is the same as a stroke.
YE
Yesenia
8 months ago
C) place the patient in supine position could help, but it's important to first check for the root cause of the headache.
TO
Tony
8 months ago
B) administer PRN acetaminophen seems like a good option to relieve the headache, but it doesn't address the underlying cause.
CL
Clorinda
8 months ago
I think the correct answer is A) check for bladder distension. Spinal cord injuries can cause autonomic dysreflexia, which can lead to a pounding headache.
MI
Miesha
8 months ago
I vaguely remember that stroke assessments are crucial, but I don't think that's the immediate priority in this scenario.
IZ
Izetta
8 months ago
I feel like placing the patient supine could make things worse if it's autonomic dysreflexia, but I can't recall the exact details.
AB
Abel
8 months ago
I think I saw a practice question where they mentioned administering acetaminophen for headaches, but I'm not sure if that's the right first step here.
HE
Hermila
9 months ago
I remember something about headaches in spinal cord injury patients possibly indicating autonomic dysreflexia, so checking for bladder distension might be important.
MA
Martin
9 months ago
I'd want to be really thorough and check all the options. Gotta make sure I don't miss anything on this exam question.
FE
Felix
9 months ago
A stroke assessment? I don't think that's the right approach here. This is more likely an issue with the spinal cord injury itself.
SH
Shizue
9 months ago
Okay, I remember learning about this in class. Placing the patient supine is important to help manage the blood pressure spike.
LE
Leslee
9 months ago
Hmm, I'm not sure. The pounding headache could be from a lot of things. I'd probably try the acetaminophen first to see if that helps.
AL
Allene
10 months ago
This seems like it could be autonomic dysreflexia. I'd check for bladder distension first.
JE
Jesusa
3 months ago
Checking for bladder issues first makes sense!
AU
Augustine
3 months ago
Definitely, it could be autonomic dysreflexia.
HE
Hermila
4 months ago
I agree, bladder distension is a priority.