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Exam (elaborations)

Nursing 302 Exam 4 questions with answers

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Nursing 302 Exam 4 questions with answers

Institution
Chamberlain College Of Nursing
Course
NUR 302

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Nursing 302 Exam 4 questions with answers


C1-C7 injury - |/\ |/\ |/\ CORRECT ANSWERS ✔✔affects respirations, |/\ |/\ |/\




heart, breathing and everything below it
|/\ |/\ |/\ |/\ |/\ |/\




T1-T2 injury - |/\ |/\ |/\ CORRECT ANSWERS ✔✔affects abdominal |/\ |/\ |/\




muscles, bowel, bladder, legs, and sometimes the arms
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




S1-S4 injury - |/\ |/\ |/\ CORRECT ANSWERS ✔✔bladder control, uterus, |/\ |/\ |/\ |/\




and penia
|/\ |/\




coccyx injury - |/\ |/\ |/\ CORRECT ANSWERS ✔✔unable to sense when |/\ |/\ |/\ |/\ |/\




bladder or bowel are full
|/\ |/\ |/\ |/\ |/\




spinal chock manifestations -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔low bp, |/\ |/\ |/\




decreased reflexes, bradycardia, warm skin above injury
|/\ |/\ |/\ |/\ |/\ |/\ |/\




causes of spinal shock - |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔lots of |/\ |/\ |/\




communication above injury but not below it
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




can be due to distended bowel, or bladder, or infection
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




1
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,ways to to treat spinal shock -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔atropine |/\ |/\




for HAR, steroids, IV fluids to increase BP
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




neurogenic dysreflexia (hyperreflexia) manifestations - |/\ |/\ |/\ |/\




|/\ CORRECT ANSWERS ✔✔seizure, high BP, bradycardia, bad |/\ |/\ |/\ |/\ |/\ |/\




headache, sweating, facial flushing
|/\ |/\ |/\ |/\




causes of neurogenic dysreflexia -
|/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS |/\




✔✔misscomunnication bc body is sensing something is wrong
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




below injury but does not know what
|/\ |/\ |/\ |/\ |/\ |/\ |/\




ways to treat hyperreflexia -
|/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔raise HOB |/\ |/\ |/\




to 45-90 degrees, remove stimuli, call HCP, look for culprit
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




incomplete injury - |/\ |/\ |/\ CORRECT ANSWERS ✔✔some sensory and |/\ |/\ |/\ |/\




stimulation is felt
|/\ |/\ |/\




complete injury - |/\ |/\ |/\ CORRECT ANSWERS ✔✔no message, cord is |/\ |/\ |/\ |/\ |/\




severed
|/\




does a spinal cord bruise every go away -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS |/\




✔✔no it never goes away, pt may get dysthesia
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




2
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, neurogenic shock - |/\ |/\ |/\ CORRECT ANSWERS ✔✔low BO, low HR |/\ |/\ |/\ |/\ |/\ |/\




loss of vascular tone and tight, becomes floppy which slows O2
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




delivery to heart
|/\ |/\ |/\




three cares for Sarah's Gardner-Wells tong's and traction -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




|/\ CORRECT ANSWERS ✔✔frequent skin assessment around tons |/\ |/\ |/\ |/\ |/\ |/\




pin cares per hospital protocol
|/\ |/\ |/\ |/\ |/\




ensure weights are hanging freely
|/\ |/\ |/\ |/\




baclofen & sci - |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔muscle relaxant used to |/\ |/\ |/\ |/\ |/\




decrease muscle spasms; some patients have pump for it
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\




bisacodyl & SCI - |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔laxative used for easy |/\ |/\ |/\ |/\ |/\




passage of stool
|/\ |/\ |/\




oxybutnin - |/\ |/\ CORRECT ANSWERS ✔✔anticholinergic used for |/\ |/\ |/\ |/\




bladder spasms
|/\ |/\




enoxaparin - |/\ |/\ CORRECT ANSWERS ✔✔anticoagulant used to |/\ |/\ |/\ |/\




prevent DVT
|/\ |/\




3
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20
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