NUR 254- UNIT 2.3 QUESTIONS WITH ANSWERS
RATED 100% .
how,would,the,nurse,"grade",muscle,strength,for,a,patient,who,was,not,able,to,move,to,some,resistance,
but,not,full,resistance?,,,ANS,-4,(out,of,5)
a,patient,paralyzed,from,the,neck,down,is,said,to,have,what?,,,ANS,-quadraplegia
a,patient,with,weakness,from,the,waist,down,would,be,documented,as,what?,,,ANS,-paraparesis
a,patient,with,spinal,cord,injury,<8,hours,ago,,present,with,hypotension,,bradycardia,,and,absent,reflexes,
and,flaccid,paralysis,below,the,level,of,injury.,what,complication,is,this,indicative,of?,,,ANS,-spinal,shock
the,nurse,would,anticipate,which,electrolyte,imbalance,related,to,immobility,for,a,patient,with,a,complet
e,cord,injury,at,T5?,,,ANS,-hypercalcemia
at,what,level,will,a,patient,with,complete,spinal,cord,injury,be,ventilator,dependent?,,,ANS,-C4,(above,C5)
aside,from,ensuring,ABCs,,what,should,the,priority,intervention,be,for,a,patient,with,suspected,spinal,cor
d,injury?,,,ANS,-immobilization
a,patient,is,at,risk,for,autonomic,dysreflexia.,what,are,three,things,that,could,stimulate,AD?,,,ANS,-
full,bladder/bowel,,skin,irritation,(tight,clothing,,SCDS,,etc.),,pressure,areas
the,patient,with,acute,spinal,cord,injury,is,receiving,high,dose,methylprednisolone.,what,is,the,purpose,fo
r,this,medication?,,,ANS,-decrease,inflammation,and,decrease,secondary,injury,to,the,spinal,cord
at,what,level,of,SCI,will,a,patient,be,ventilator,dependent?,,,ANS,-C4
above,which,level,of,injury,would,a,patient,be,at,high,risk,for,neurogenic,shock,and,AD?,,,ANS,-T6
, a,patient,is,unable,to,move,or,feel,from,the,waist,down.,what,would,this,be,documented,as?,,,ANS,-
paraplegia
a,patient,should,be,suspected,as,having,a,SCI,and,should,be,immobilized,until,ruled,out,for,what,reasons?,
,,ANS,-head,trauma,,GSW,near,spinal,column,,fall,,MVC
when,explaining,spinal,shock,to,a,family,member,what,should,the,nurse,say?,,,ANS,-
it,is,like,a,concussion,of,the,spinal,cord,and,will,resolve,over,time,with,increasing,reflexes,and,then,hypera
ctive,reflexes
a,nurse,stops,to,help,after,witnessing,an,accident,involving,adolescent,riding,a,motorcycle,,hitting,a,tree,a
nd,being,thrown,30,feet,into,a,field.,the,adolescent,reports,that,he,is,unable,to,move,his,legs.,while,waitin
g,for,EMS,,what,should,the,nurse,do?,,,ANS,-leave,the,adolescent,as,he,is,,staying,with,him
the,nurse,auscultates,closely,for,bowel,sounds,when,assessing,a,patient,with,SCI,because?,,,ANS,-
the,complication,of,paralytic,ileus
the,family,of,a,patient,with,a,fresh,spinal,cord,injury,asks,what,the,methylprednisolone,infusion,is,for.,wh
at,should,the,nurse,say?,,,ANS,-
it,is,to,decrease,inflammation,and,decrease,further,injury,to,the,spinal,cord,secondary,to,inflammatory,re
sponse,after,the,initial,injury
after,a,fall,,which,manifestations,would,indicate,a,potential,spinal,cord,injury,and,need,to,be,evaluated,fu
rther?,,,ANS,-
extreme,pain/pressure,in,the,neck,or,back,,impaired,breathing,after,injury,,oddly,positioned,neck,or,back,
,weakness,,paresthesia
when,distinguishing,spinal,shock,from,neurogenic,shock,,what,may,not,occur,with,neurogenic,shock?,,,AN
S,-flaccid,paralysis
the,nurse,is,assessing,a,patient,at,a,rehabilitation,facility,who,is,2,months,post,T5,complete,spinal,cord,inj
ury.,what,manifestations,would,alert,the,nurse,the,patient,has,developed,autonomic,dysreflexia?,,,ANS,-
hypertension,,headache,,nasal,stuffiness,,sweating,above,level,of,injury,,bradycardia
RATED 100% .
how,would,the,nurse,"grade",muscle,strength,for,a,patient,who,was,not,able,to,move,to,some,resistance,
but,not,full,resistance?,,,ANS,-4,(out,of,5)
a,patient,paralyzed,from,the,neck,down,is,said,to,have,what?,,,ANS,-quadraplegia
a,patient,with,weakness,from,the,waist,down,would,be,documented,as,what?,,,ANS,-paraparesis
a,patient,with,spinal,cord,injury,<8,hours,ago,,present,with,hypotension,,bradycardia,,and,absent,reflexes,
and,flaccid,paralysis,below,the,level,of,injury.,what,complication,is,this,indicative,of?,,,ANS,-spinal,shock
the,nurse,would,anticipate,which,electrolyte,imbalance,related,to,immobility,for,a,patient,with,a,complet
e,cord,injury,at,T5?,,,ANS,-hypercalcemia
at,what,level,will,a,patient,with,complete,spinal,cord,injury,be,ventilator,dependent?,,,ANS,-C4,(above,C5)
aside,from,ensuring,ABCs,,what,should,the,priority,intervention,be,for,a,patient,with,suspected,spinal,cor
d,injury?,,,ANS,-immobilization
a,patient,is,at,risk,for,autonomic,dysreflexia.,what,are,three,things,that,could,stimulate,AD?,,,ANS,-
full,bladder/bowel,,skin,irritation,(tight,clothing,,SCDS,,etc.),,pressure,areas
the,patient,with,acute,spinal,cord,injury,is,receiving,high,dose,methylprednisolone.,what,is,the,purpose,fo
r,this,medication?,,,ANS,-decrease,inflammation,and,decrease,secondary,injury,to,the,spinal,cord
at,what,level,of,SCI,will,a,patient,be,ventilator,dependent?,,,ANS,-C4
above,which,level,of,injury,would,a,patient,be,at,high,risk,for,neurogenic,shock,and,AD?,,,ANS,-T6
, a,patient,is,unable,to,move,or,feel,from,the,waist,down.,what,would,this,be,documented,as?,,,ANS,-
paraplegia
a,patient,should,be,suspected,as,having,a,SCI,and,should,be,immobilized,until,ruled,out,for,what,reasons?,
,,ANS,-head,trauma,,GSW,near,spinal,column,,fall,,MVC
when,explaining,spinal,shock,to,a,family,member,what,should,the,nurse,say?,,,ANS,-
it,is,like,a,concussion,of,the,spinal,cord,and,will,resolve,over,time,with,increasing,reflexes,and,then,hypera
ctive,reflexes
a,nurse,stops,to,help,after,witnessing,an,accident,involving,adolescent,riding,a,motorcycle,,hitting,a,tree,a
nd,being,thrown,30,feet,into,a,field.,the,adolescent,reports,that,he,is,unable,to,move,his,legs.,while,waitin
g,for,EMS,,what,should,the,nurse,do?,,,ANS,-leave,the,adolescent,as,he,is,,staying,with,him
the,nurse,auscultates,closely,for,bowel,sounds,when,assessing,a,patient,with,SCI,because?,,,ANS,-
the,complication,of,paralytic,ileus
the,family,of,a,patient,with,a,fresh,spinal,cord,injury,asks,what,the,methylprednisolone,infusion,is,for.,wh
at,should,the,nurse,say?,,,ANS,-
it,is,to,decrease,inflammation,and,decrease,further,injury,to,the,spinal,cord,secondary,to,inflammatory,re
sponse,after,the,initial,injury
after,a,fall,,which,manifestations,would,indicate,a,potential,spinal,cord,injury,and,need,to,be,evaluated,fu
rther?,,,ANS,-
extreme,pain/pressure,in,the,neck,or,back,,impaired,breathing,after,injury,,oddly,positioned,neck,or,back,
,weakness,,paresthesia
when,distinguishing,spinal,shock,from,neurogenic,shock,,what,may,not,occur,with,neurogenic,shock?,,,AN
S,-flaccid,paralysis
the,nurse,is,assessing,a,patient,at,a,rehabilitation,facility,who,is,2,months,post,T5,complete,spinal,cord,inj
ury.,what,manifestations,would,alert,the,nurse,the,patient,has,developed,autonomic,dysreflexia?,,,ANS,-
hypertension,,headache,,nasal,stuffiness,,sweating,above,level,of,injury,,bradycardia
