NUR 213 Test 2 Exam #1 Question with verified
answers
Who's most at risk for a spinal cord injury?- √√-ages 16-18
-male gender
- high risk physical activity
-driving under the influence
With emergency care what is PRIORITY?- √√Spinal Immobilization
Log rolling- √√Team Setup: Use at least 3-4 trained personnel — one at the head (team
leader), others at shoulders/hips/legs.
Head Control: The person at the head stabilizes the neck and head in a neutral, in-line
position.
Communication: The head person gives all commands. Everyone moves only on their
count.
Arm Positioning: Cross the patient's arms over their chest; place the far leg over the near
leg.
Roll: On the leader's count, roll the patient in one smooth motion toward the team,
keeping the spine in alignment.
Inspection/Backboard: Check the back or slide a spine board under the patient while
maintaining alignment.
Return & Secure: Gently roll the patient back onto the board and secure head, neck, and
torso.
Key Point: Maintain spinal alignment at all times—the head, neck, and spine move as one
unit.
Inflammation and swelling can make injury difficult to determine for up to how long?- √√1
week
, Halo device- √√*pin care
*pain mgmt
*assure that its temporary
*DO NOT attempt to remove pins
*Monitor for infection
Autonomic dysreflexia- √√Spinal injury above T6, exaggerated response from sympathetic
nervous system.
S/S of autonomic dysreflexia- √√Vasodilation ABOVE injury
Vasoconstriction BELOW injury
Vasodilation- √√increased BP
flushed face
headache
distended neck veins
decreased HR
increased sweating
Vasoconstriction- √√Pale
cool
no sweating
Common causes of autonomic dysreflexia- √√**FULL BLADDER**
pressure areas
fecal impaction
restrictive clothing
What do you do FIRST with a person experiencing autonomic dysreflexia?- √√1. **RAISE
HOB**
2.stabilize BP
3.identify source
What are some long-term effects of immobility?- √√Weakened muscles
skin integrity
cardiac output
slowed peristalsis (risk for constipation)
answers
Who's most at risk for a spinal cord injury?- √√-ages 16-18
-male gender
- high risk physical activity
-driving under the influence
With emergency care what is PRIORITY?- √√Spinal Immobilization
Log rolling- √√Team Setup: Use at least 3-4 trained personnel — one at the head (team
leader), others at shoulders/hips/legs.
Head Control: The person at the head stabilizes the neck and head in a neutral, in-line
position.
Communication: The head person gives all commands. Everyone moves only on their
count.
Arm Positioning: Cross the patient's arms over their chest; place the far leg over the near
leg.
Roll: On the leader's count, roll the patient in one smooth motion toward the team,
keeping the spine in alignment.
Inspection/Backboard: Check the back or slide a spine board under the patient while
maintaining alignment.
Return & Secure: Gently roll the patient back onto the board and secure head, neck, and
torso.
Key Point: Maintain spinal alignment at all times—the head, neck, and spine move as one
unit.
Inflammation and swelling can make injury difficult to determine for up to how long?- √√1
week
, Halo device- √√*pin care
*pain mgmt
*assure that its temporary
*DO NOT attempt to remove pins
*Monitor for infection
Autonomic dysreflexia- √√Spinal injury above T6, exaggerated response from sympathetic
nervous system.
S/S of autonomic dysreflexia- √√Vasodilation ABOVE injury
Vasoconstriction BELOW injury
Vasodilation- √√increased BP
flushed face
headache
distended neck veins
decreased HR
increased sweating
Vasoconstriction- √√Pale
cool
no sweating
Common causes of autonomic dysreflexia- √√**FULL BLADDER**
pressure areas
fecal impaction
restrictive clothing
What do you do FIRST with a person experiencing autonomic dysreflexia?- √√1. **RAISE
HOB**
2.stabilize BP
3.identify source
What are some long-term effects of immobility?- √√Weakened muscles
skin integrity
cardiac output
slowed peristalsis (risk for constipation)
