Traumatic Brain and Spinal Cord Injury · NCLEX Exam

What is an essential nursing action to prevent pressure injuries in a wheelchair-bound SCI patient?

  1. A normal pupillary finding expected after sedation
  2. A sign of brainstem herniation requiring emergency care
  3. A simple, transient change in the eyelid reflex
  4. An expected response to instilled mydriatic eye drops
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Correct answer: A sign of brainstem herniation requiring emergency care

Patients with SCI are at a high risk for pressure ulcers; frequent turning and pressure-relief surfaces are essential prevention strategies.

Difficulty: Medium Question 16 of 20

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