NSG4330 Exam Practice Questions and Answers 100% Pass
NSG4330 Exam Practice Questions and Answers 100% Pass Anatomy of Spine - Correct Answer️️ -33 vertebrae (7C, 12T, 5L & sacral+coccyx) 31 pairs of nerves (8C, 12T, 5L, 5S, 1C) Ventral Root: - Correct Answer️️ -Each muscle in body is supplied by a particular segment of the SC and its corresponding spinal nerve Dorsal Root: - Correct Answer️️ -sensory root Dermatome: - Correct Answer️️ -area of skin supplied by nerve fibers originating from a single dorsal nerve root. Complete SCI: - Correct Answer️️ -motor and sensory function lost below injury. Stems from contusion or compromised blood flow to injured part of cord Incomplete SCI - Correct Answer️️ -some function retained, function lost depends on area affected Types: Brown-Sequard Anterior Cord Posterior Cord Central CordSmart PDF Brown-Sequard Syndrome - Correct Answer️️ -Damage to half of spinal cord Loss of pain and temperature sensation on contralateral side of body Loss of proprioception and discriminatory touch on ipsilateral side of body. Anterior Cord Syndrome - Correct Answer️️ -- Caused by flexion injuries - Occurs when 2/3 of the anterior cord is lost - *motor function, pain, and temperature sensation lost bilaterally below the lesion* (*flaccidity* below the lesion) Posterior Cord Syndrome - Correct Answer️️ -Damage to the posterior spinal artery with damage to the dorsal columns, resulting in loss of proprioception. Central Cord Syndrome - Correct Answer️️ -loss of function in upper extremities caused by injury to the middle portion of the spinal cord Flexion Injury - Correct Answer️️ -Forward movement of the head. i.e. rapid deceleration in MVC Flexion/Rotation Injury - Correct Answer️️ -Severe forward movement of the head combined with lateral movement of the head or spine beyond its normal rotation. Most unstable!Smart PDF Extension Injury - Correct Answer️️ -Backwards movement of head without rotation (i.e. chin hitting dashboard in MVC) SCI: Diagnostic Testing - Correct Answer️️ -CT is gold standard MRI can help visualize ligamentous injury, blood clots, herniations/masses SCI: Signs and Symptoms - Correct Answer️️ -Partial/complete loss of control to areas of body Extreme pain/pressure in head, neck or back Tingling/loss of sensation to hands, fingers, feet, toes Difficulty with balance and walking Impaired breathing (rescue breathing indicated, not necessarily CPR) ASIA Exam - Correct Answer️️ -Promotes appropriate motor and sensory function evaluation and classifies degree of impairment as complete (level A) or incomplete (levels B - E) SCI: Nursing Care - Correct Answer️️ -Maintain BP (autonomic dysreflexia) Monitor CV (hypotension, bradycardia, DVT) Adequate ventilation and lung functionSmart PDF Infection monitoring Regular assessments (Q1hr or more) Coping/psychosocial interventions (quality of life, role change, sexuality) Autonomic Dysreflexia - Correct Answer️️ -For injuries T6 or higher. Spinal shock starts to resolve and reflexes return. Noxious stimul
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