Trauma Nursing: Head and Spinal Cord Injury · NCLEX Exam

Which nursing intervention is essential for a patient with high-level spinal cord injury to prevent respiratory complications?

  1. Encourage deep breathing exercises just once per shift
  2. Pulmonary hygiene (suction, deep breathing, cough assist) plus vital capacity monitoring
  3. Maintain immobilisation only and disregard lung function
  4. Defer respiratory monitoring until the rehabilitation phase
Show answer and explanation

Correct answer: Pulmonary hygiene (suction, deep breathing, cough assist) plus vital capacity monitoring

High SCI can impair respiratory muscles; nurses must monitor lung function, suction secretions, assist coughing to prevent pneumonia.

Difficulty: Medium Question 8 of 18

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