Certified Neuroscience Registered Nurse (CNRN) Practice Exam

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Prepare for the CNRN Exam. Test your knowledge with our comprehensive multiple-choice questions and detailed explanations. Boost your confidence and improve your chances of a successful exam outcome!

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How is the management of the gastrointestinal system in a spinal cord injury (SCI) patient initiated in the emergency department?

By administering antacids
By inserting a nasogastric tube (NGT)
By encouraging oral intake
By performing a digestive tract surgery

The correct answer is: By inserting a nasogastric tube (NGT)

In managing the gastrointestinal system in a patient with a spinal cord injury (SCI), the initiation of treatment is critical, particularly in the emergency department setting. Inserting a nasogastric tube (NGT) is an appropriate first step due to the high risk of complications related to gastrointestinal motility, which can be affected by spinal cord injuries. Spinal cord injuries can lead to decreased peristalsis, gastric atony, and an increased risk of bowel obstruction. The NGT serves multiple purposes: it helps decompress the stomach, prevent aspiration, and allows for the aspiration of gastric contents to assess the patient’s condition more accurately. This approach is crucial because it addresses the potential for ileus and distension, common concerns in SCI patients. By ensuring that the stomach is decompressed, the NGT also lays the groundwork for further management of nutrition and medications as the patient stabilizes. In emergency situations, addressing immediate gastrointestinal needs is pivotal to the overall management plan for SCI patients, facilitating a more organized approach to their care.