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A nurse is caring for a client transported to the ED by ambulance after an MVA. The client has a GCS of 13 and suspected cervical spinal cord injury. There is a cervical collar in place. What intervention is the priority?

User Natkeeran
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Final answer:

The priority for a patient with a suspected cervical spinal injury is spine stabilization, usually done with a cervical collar, alongside monitoring and maintaining the airway and respiratory function. Rapid assessment of neurological status is critical for guiding care and establishing a baseline for the patient's condition. Advanced imaging can follow to detail the extent of the injury.

Step-by-step explanation:

The priority intervention for a client with a suspected cervical spinal cord injury and a Glasgow Coma Scale (GCS) of 13 is to ensure the stabilization of the spine. The reason a cervical collar is in place is to prevent any further damage to the spinal cord, which could lead to permanent paralysis or other serious complications. A rapid assessment of neurological function is crucial because it can guide immediate care and interventions, as well as provide a baseline for any changes in the client's condition.

In addition to immobilization, it is important to maintain the client's airway and to monitor respiratory function closely due to the risk of respiratory distress associated with cervical spinal injuries. Emergency medical assistance should be contacted if not already on site, and the individual should be kept as still as possible.

Advanced imaging, such as MRI or CT scanning, may be used later to localize and assess the extent of the injury. However, initial care decisions must often be made based on a minimal examination at the scene to avoid exacerbating the injury. It's important that the surgeon, nurse, and anesthesia professional are coordinated in their approach to the patient's care, emphasizing the gravity of these types of injuries, which can lead to significant long-term disability, as seen in the tragic case of Christopher Reeve.

User Medhat
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