METABOLISM, CANCER) QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
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the spinal cord Ans✓✓✓• Relays messages to and from the brain
• Injuries, tumors, infections (trauma is the leading cause)
• Inflammatory and autoimmune diseases
• Degenerative diseases
• The spinal cord itself may be damaged, or the spinal nerves leading
from the cord to the extremities may be affected
-complete or incomplete
**complete- no longer function (sever communication with spinal cord)
**incomplete- can function (more common)
• INFLAMMATION
• Both the spinal cord and the nerves can be involved
• MOBILITY
,• SENSORY PERCEPTION- always want to monitor, did something
change from baseline?
• PAIN
parts of the spinal cord Ans✓✓✓1. Cervical (7)
2. Thoracic (12)
3. Lumbar (5)
4. Sacral (5)
5. Coccygeal (4)
C4 injury Ans✓✓✓Tetraplegia, results in complete paralysis below the
neck
(the higher the level of the spine, the more severe the injury)
C6 injury Ans✓✓✓results in partial paralysis of hands and arms as well
as lower body
T6 injury Ans✓✓✓Paraplegia, results in paralysis below the chest
L1 injury Ans✓✓✓paraplegia, results in paralysis below the waist
,consequences of immobility Ans✓✓✓systems affected:
-cardiovascular
-respiratory
-musculoskeletal
-integumentary
-gastrointestinal
-urinary/elimination patterns
alterations in spinal cord can affect a patient's ability to perform ADL's
low back pain Ans✓✓✓acute or chronic
localized or diffuse (specific area)
radicular or referred (irritated nerve or radiating pain/larger area of pain)
factors contributing to low back pain Ans✓✓✓• Trauma
• Changes in vertebral support - compression fractures
• Malalignment - scoliosis
, • Vascular changes - less blood support/lack of perfusion needed
(hypotensive)
• Intervertebral disk disease- herniation/bulging
when planning to move a person with a possible spinal cord injury, the
nurse should direct the team to: Ans✓✓✓immobilize the head and neck
to prevent further injury
lumbosacral back pain (low back pain) Ans✓✓✓• Back pain affects
80% of adults at some time in their life
• Low back pain is the leading cause of work disability
• Contributing factors
• Age
• Lifestyle factors- obesity/activity level
• Osteoporosis
• Heavy physical lifting / trauma
• Poor posture
• Smoking
• Pregnancy
•repetitive motions