NR 509 Comprehensive Assessment; Tina Jones-Lab Report

Neurological Assignment _ Completed _ Shadow Health:2 To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested? Correct: The patellar deep tendon reflex involves the sensory and motor nerve fibers associated with spinal segments L2, L3, and L4. Location of abnormal reflexes may be helpful in identifying neurological pathologies of the spine. Achilles Biceps Patellar (Correct Response) Triceps Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. What would you suspect was happening? Correct: Autonomic dysreflexia is the sudden increase in blood pressure caused by dysregulation of sympathetic and parasympathetic nervous systems reacting to a noxious stimulus below the site of spinal injury. Other symptoms include bradycardia, anxiety, blurred vision, headache, flushing, and sweating. The noxious stimulus (pulling of the Foley catheter) should be alleviated to resolve the condition. Odynophagia Febrile reaction Idiopathic spinal reaction Autonomic dysreflexia (Correct Response) Which of the following is not a common symptom of Parkinson's disease? Incorrect: Parkinson’s disease is characterized by tremors at rest, bradykinesia, cogwheel rigidity, postural instability, festination, lack of facial expression, reduced arm swing, autonomic and neuroendocrine dysfunctions, and a variety of psychological issues such as depression, anxiety, and sleep disturbances. Lack of facial expression Festination Cogwheel rigidity (Student Response) Intention tremors (Correct Response)