Difficulty: Medium
Average Score: 65%
Simulated
An adolescent sustains a T3 spinal cord injury. After insertion of an intravenous line, a nasogastric tube, and an indwelling urinary (Foley) catheter, the adolescent is admitted to the intensive care unit. What should the nurse do next when assessment reveals that the adolescent's feet and legs are cool to the touch?
Correct answer
A
Rationale
Cool extremities indicate poor circulation, common in spinal cord injury; covering with blankets promotes warmth and comfort.