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The Patient Is Admitted with Injuries That Were Sustained in a Fall

Question 23

Multiple Choice

The patient is admitted with injuries that were sustained in a fall. During the nurse's first assessment upon admission, the findings are: blood pressure 90/60 (as compared to 136/66 in the emergency department) , flaccid paralysis on the right, absent bowel sounds, zero urine output, and palpation of a distended bladder. These signs are consistent with which of the following?


A) paralysis
B) spinal shock
C) high cervical injury
D) temporary hypovolemia

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