2310 Exam 3 Questions And Correct A
A cpatient cwho chas cbeen cin cthe chospital cfor cseveral cweeks cis cabout cto cbe cdischarged. cThe cp
chospitalization cand casks cthe cnurse cto cexplain cwhy cthis cis chappening. cWhat cis cthe cnurse's cbe
a."Your ciron clevel cis clow. cThis cis cknown cas canemia."
b."Your cimmobility cin cthe chospital cis cknown cas cdeconditioning."
c."Your cpoor cappetite cis cknown cas cmalnutrition."
d."Your cmedications chave ccaused cdrug cinduced cweakness." c- cCORRECT cANS✔✔ANS: cB
When ca cperson cis cill cand cimmobile cthe cbody cbecomes cweak. cThis cis cknown cas cdeconditionin
cmedications cmay chave can cadverse ceffect con cthe cbody, cbut cthis cis cnot cknown cas cdecondition
ccause cin cthis cpatient's csituation.
An colder cpatient cis ctalking cwith cthe cnurse cabout chip cfractures. cThe cpatient cwould clike cto cknow
cstrengthen cthe cbones. cWhat cis cthe cnurse's cbest cresponse?
a.
"Walk cat cleast c5 cmiles cevery cday cfor cexercise."
b.
"Wear cproper cfitting cshoes cto cprevent ctripping."
c.
"Talk cwith cyour cphysician cabout ca ccalcium csupplement."
d.
"Stand cup cslowly cso cyou cdon't cfeel cfaint." c- cCORRECT cANS✔✔ANS: cC
Calcium cstrengthens cthe cbones. cA ccalcium csupplement cwill chelp cstrengthen cbones cas cthey cm
cillness, cor ctrauma. cWalking cseveral cmiles cwill chelp cstrengthen cthe cbones, cbut cthe cpatient csho
chealthcare cprovider cbefore cany cexercise cregimen cis cimplemented cfor cthe colder cadult. cWearing
cslowly cto cprevent cdizziness cis cimportant cbut cthey cwill cnot cprevent cfractures.
Mobility cfor cthe cpatient cchanges cthroughout cthe clife cspan. cWhat cis cthe cterm cthat cbest cdescrib
a.
Aging cand cillness
b.
Illness cand cdisease
c.
Health cand cwellness
d.
Growth cand cdevelopment c- cCORRECT cANS✔✔ANS: cD
Growth cand cdevelopment chappens cfrom cinfancy cto cdeath. cMuscular cchanges care calways chapp
caffect cthe cindividual cand chis cor cher cperformance cin clife. cAging, cillness, chealth, cand cwellness c
cperson, cbut cthey cdon't calways caffect cmobility.
The cnurse cis ctalking cto cthe cunlicensed cassistive cpersonnel cabout cmoving ca cpatient cin cbed. cTh
cunlicensed cassistive cpersonnel cunderstands cthe cconcept cof cmobility cand cproper cmoving ctechn
cstatement?
,d.
"Patients cwith cimpaired cbed cmobility care cprone cto cconstipation." c- cCORRECT cANS✔✔ANS: cA
Patients cwho ccannot cmove cthemselves cin cbed care cmore csusceptible cto cpressure culcers cbecau
cpressure cthey cfeel. cExtra cvisitors cor cdiet cconsistency cdo cnot chave cany cbearing con cmobility. cC
cby-product cof cimmobility cif ca cbowel cregimen cis cinstituted.
What cpercentage cof chip cfractures cis cthe cresult cof cfalls?
a.
50%
b.
80%
c.
90%
d.
100% c- cCORRECT cANS✔✔ANS: cC
About c90% cof cfalls cend cwith ca chip cfracture.
The clack cof cweight cbearing cleads cto cwhat ceffects con cthe cskeletal csystem?
a.
Demineralization, ccalcium closs
b.
Thickened cbones
c.
Increased crange cof cmotion
d.
Increased ccalcium cdeposition cin cthe cbones c- cCORRECT cANS✔✔ANS: cA
Weight cbearing chelps cto cstrengthen cthe cbone. cLack cof cweight cbearing cmeans cthat cthe cbone ci
cthat cstrengthen cit. cThickened cbones cwill cnot coccur cwith cthe clack cof cweight cbearing. cRange co
cwith ca clack cof cweight cbearing cmovements.
The cnurse cassessing ca c54-year-old cfemale cpatient cwith cnewly cdiagnosed ctrigeminal cneuralgia
a.
visual cproblems ccaused cby cptosis.
b.
triggers cleading cto cfacial cdiscomfort.
c.
poor cappetite ccaused cby closs cof ctaste.
d.
weakness con cthe caffected cside cof cthe cface. c- cCORRECT cANS✔✔ANS: cB
The cmajor cclinical cmanifestation cof ctrigeminal cneuralgia cis csevere cfacial cpain cthat cis ctriggered
cthe cnerve. cPtosis, closs cof ctaste, cand cfacial cweakness care cnot ccharacteristics cof ctrigeminal cne
Which caction cshould cthe cnurse ctake cwhen cassessing ca cpatient cwith ctrigeminal cneuralgia?
a.
Have cthe cpatient cclench cthe cjaws.
b.
Inspect cthe coral cmucosa cand cteeth.
c.
Palpate cthe cface cto ccompare cskin ctemperature cbilaterally.
d.
Identify ctrigger czones cby clightly ctouching cthe caffected cside. c- cCORRECT cANS✔✔ANS: cB
Oral chygiene cis cfrequently cneglected cbecause cof cfear cof ctriggering cfacial cpain. cHaving cthe cpa
cwill cnot cbe cuseful cbecause cthe csensory cbranches cof cthe cnerve care caffected cby ctrigeminal cne
cpalpation cmay cbe ctriggers cfor cpain cand cshould cbe cavoided.
,c.
Teach cfacial crelaxation ctechniques.
d.
Spend ctime ctalking cwith cthe cpatient. c- cCORRECT cANS✔✔ANS: cA
The cpatient cwith can cacute cepisode cof ctrigeminal cneuralgia cmay cbe cunwilling cto ceat cor cdrink, c
cand chydration cstatus cis cimportant. cBecause cstimulation cby ctouch cis cthe cprecipitating cfactor cfo
cmuscles cwill cnot cimprove csymptoms. cApplication cof cice cis clikely cto cprecipitate cpain. cThe cpatie
cconversation, cwhich cmay cprecipitate cattacks.
The cnurse cidentifies ca cpatient cwith ctype c1 cdiabetes cand ca chistory cof cherpes csimplex cinfection
cpalsy. cWhich cinformation cshould cthe cnurse cinclude cin cteaching cthe cpatient?
a.
"You cmay cbe cable cto cprevent cBell's cpalsy cby cdoing cfacial cexercises cregularly."
b.
"Prophylactic ctreatment cof cherpes cwith cantiviral cagents cprevents cBell's cpalsy."
c.
"Medications cto ctreat cBell's cpalsy cwork conly cif cstarted cbefore cparalysis conset."
d.
"Call cthe cdoctor cif cyou cexperience cpain cor cdevelop cherpes clesions cnear cthe cear." c- cCORREC
Pain cor cherpes clesions cnear cthe cear cmay cindicate cthe conset cof cBell's cpalsy cand crapid ccortico
cthe cduration cof cBell's cpalsy csymptoms. cAntiviral ctherapy cfor cherpes csimplex cdoes cnot creduce
cCorticosteroid ctherapy cwill cbe cmost ceffective cin creducing csymptoms cif cstarted cbefore cparalysis
csomewhat ceffective cwhen cstarted clater. cFacial cexercises cdo cnot cprevent cBell's cpalsy.
A c32-year-old cpregnant cpatient cwith cBell's cpalsy crefuses cto ceat cwhile cothers care cpresent cbeca
cdrooling. cThe cbest cresponse cby cthe cnurse cis cto
a.
respect cthe cpatient's cfeelings cand carrange cfor cprivacy cat cmealtimes.
b.
teach cthe cpatient cto cchew cfood con cthe cunaffected cside cof cthe cmouth.
c.
offer cthe cpatient cliquid cnutritional csupplements cat cfrequent cintervals.
d.
discuss cthe cpatient's cconcerns cwith cvisitors cwho carrive cat cmealtimes. c- cCORRECT cANS✔✔AN
The cpatient's cdesire cfor cprivacy cshould cbe crespected cto cencourage cadequate cnutrition cand cred
cLiquid csupplements cwill creduce cthe cpatient's cenjoyment cof cthe ctaste cof cfood. cIt cwould cbe cina
cdiscuss cthe cpatient's cembarrassment cwith cvisitors cunless cthe cpatient cwishes cto cshare cthis cinf
cunaffected cside cof cthe cmouth cwill cenhance cnutrition cand cenjoyment cof cfood cbut cwill cnot cdecr
Which cnursing caction cwill cthe chome chealth cnurse cinclude cin cthe cplan cof ccare cfor ca cpatient cwi
cin corder cto cprevent cautonomic cdysreflexia?
a.
Support cselection cof ca chigh-protein cdiet.
b.
Discuss coptions cfor csexuality cand cfertility.
c.
Assist cin cplanning ca cprescribed cbowel cprogram.
d.
Use cquad ccoughing cto cstrengthen ccough cefforts. c- cCORRECT cANS✔✔ANS: cC
Fecal cimpaction cis ca ccommon cstimulus cfor cautonomic cdysreflexia. cDietary cprotein, ccoughing, ca
cshould cbe cincluded cin cthe cplan cof ccare cbut cwill cnot creduce cthe crisk cfor cautonomic cdysreflexia
Which cassessment cdata cfor ca cpatient cwho chas cGuillain-Barré csyndrome cwill crequire cthe cnurse
a.
The cpatient's ctriceps creflexes care cabsent.
, d.
infusion cof cimmunoglobulin c(Sandoglobulin). c- cCORRECT cANS✔✔ANS: cD
Because cthe cGuillain-Barré csyndrome cis cin cthe cearliest cstages c(as cevidenced cby cthe csymptom
cimmunoglobulin cis cappropriate cto creduce cthe cextent cand clength cof csymptoms. cMechanical cven
cmay cbe cused clater cin cthe cprogression cof cthe csyndrome cbut care cnot cneeded cnow. cCorticoster
creducing cthe cduration cor csymptoms cof cthe csyndrome.
A cconstruction cworker carrives cat can curgent ccare ccenter cwith ca cdeep cpuncture cwound cafter can
cThe cpatient creports chaving chad ca ctetanus cbooster c6 cyears cago. cThe cnurse cwill canticipate
a.
IV cinfusion cof ctetanus cimmune cglobulin c(TIG).
b.
administration cof cthe ctetanus-diphtheria c(Td) cbooster.
c.
intradermal cinjection cof can cimmune cglobulin ctest cdose.
d.
initiation cof cthe ctetanus-diphtheria cimmunization cseries. c- cCORRECT cANS✔✔ANS: cB
If cthe cpatient chas cnot cbeen cimmunized cwithin c5 cyears, cadministration cof cthe cTd cbooster cis cin
cdeep. cImmune cglobulin cadministration cis cgiven cby cthe cIM croute cif cthe cpatient chas cno cpreviou
cof ca cseries cof cimmunization cis cnot cindicated. cTIG cis cnot cindicated cfor cthis cpatient, cand ca ctes
cimmune cglobulin.
The cnurse cis cadmitting ca cpatient cwith ca cneck cfracture cat cthe cC6 clevel cto cthe cintensive ccare cu
cfinding(s) cindicate(s) cneurogenic cshock?
a.
Hyperactive creflex cactivity cbelow cthe clevel cof cinjury
b.
Involuntary, cspastic cmovements cof cthe carms cand clegs
c.
Hypotension, cbradycardia, cand cwarm, cpink cextremities
d.
Lack cof csensation cor cmovement cbelow cthe clevel cof cinjury c- cCORRECT cANS✔✔ANS: cC
Neurogenic cshock cis ccharacterized cby chypotension, cbradycardia, cand cvasodilation cleading cto cw
cSpasticity cand chyperactive creflexes cdo cnot coccur cat cthis cstage cof cspinal ccord cinjury. cLack cof
cindicate cspinal ccord cinjury, cbut cnot cneurogenic cshock.
A cpatient chas can cincomplete cleft cspinal ccord clesion cat cthe clevel cof cT7, cresulting cin cBrown-Séq
cnursing caction cshould cbe cincluded cin cthe cplan cof ccare?
a.
Assessment cof cthe cpatient cfor cright carm cweakness
b.
Assessment cof cthe cpatient cfor cincreased cright cleg cpain
c.
Positioning cthe cpatient's cleft cleg cwhen cturning cthe cpatient
d.
Teaching cthe cpatient cto clook cat cthe cright cleg cto cverify cits cposition c- cCORRECT cANS✔✔ANS:
The cpatient cwith cBrown-Séquard csyndrome chas closs cof cmotor cfunction con cthe cipsilateral cside
cmove cthe cleft cleg. cPain csensation cwill cbe clost con cthe cpatient's cright cleg. cArm cweakness cwill c
cpatient cwith ca cT7 cinjury. cThe cpatient cwill cretain cposition csense cfor cthe cright cleg.
The cnurse cwill cexplain cto cthe cpatient cwho chas ca cT2 cspinal ccord ctransection cinjury cthat
a.
use cof cthe cshoulders cwill cbe climited.
b.
function cof cboth carms cshould cbe cretained.
A cpatient cwho chas cbeen cin cthe chospital cfor cseveral cweeks cis cabout cto cbe cdischarged. cThe cp
chospitalization cand casks cthe cnurse cto cexplain cwhy cthis cis chappening. cWhat cis cthe cnurse's cbe
a."Your ciron clevel cis clow. cThis cis cknown cas canemia."
b."Your cimmobility cin cthe chospital cis cknown cas cdeconditioning."
c."Your cpoor cappetite cis cknown cas cmalnutrition."
d."Your cmedications chave ccaused cdrug cinduced cweakness." c- cCORRECT cANS✔✔ANS: cB
When ca cperson cis cill cand cimmobile cthe cbody cbecomes cweak. cThis cis cknown cas cdeconditionin
cmedications cmay chave can cadverse ceffect con cthe cbody, cbut cthis cis cnot cknown cas cdecondition
ccause cin cthis cpatient's csituation.
An colder cpatient cis ctalking cwith cthe cnurse cabout chip cfractures. cThe cpatient cwould clike cto cknow
cstrengthen cthe cbones. cWhat cis cthe cnurse's cbest cresponse?
a.
"Walk cat cleast c5 cmiles cevery cday cfor cexercise."
b.
"Wear cproper cfitting cshoes cto cprevent ctripping."
c.
"Talk cwith cyour cphysician cabout ca ccalcium csupplement."
d.
"Stand cup cslowly cso cyou cdon't cfeel cfaint." c- cCORRECT cANS✔✔ANS: cC
Calcium cstrengthens cthe cbones. cA ccalcium csupplement cwill chelp cstrengthen cbones cas cthey cm
cillness, cor ctrauma. cWalking cseveral cmiles cwill chelp cstrengthen cthe cbones, cbut cthe cpatient csho
chealthcare cprovider cbefore cany cexercise cregimen cis cimplemented cfor cthe colder cadult. cWearing
cslowly cto cprevent cdizziness cis cimportant cbut cthey cwill cnot cprevent cfractures.
Mobility cfor cthe cpatient cchanges cthroughout cthe clife cspan. cWhat cis cthe cterm cthat cbest cdescrib
a.
Aging cand cillness
b.
Illness cand cdisease
c.
Health cand cwellness
d.
Growth cand cdevelopment c- cCORRECT cANS✔✔ANS: cD
Growth cand cdevelopment chappens cfrom cinfancy cto cdeath. cMuscular cchanges care calways chapp
caffect cthe cindividual cand chis cor cher cperformance cin clife. cAging, cillness, chealth, cand cwellness c
cperson, cbut cthey cdon't calways caffect cmobility.
The cnurse cis ctalking cto cthe cunlicensed cassistive cpersonnel cabout cmoving ca cpatient cin cbed. cTh
cunlicensed cassistive cpersonnel cunderstands cthe cconcept cof cmobility cand cproper cmoving ctechn
cstatement?
,d.
"Patients cwith cimpaired cbed cmobility care cprone cto cconstipation." c- cCORRECT cANS✔✔ANS: cA
Patients cwho ccannot cmove cthemselves cin cbed care cmore csusceptible cto cpressure culcers cbecau
cpressure cthey cfeel. cExtra cvisitors cor cdiet cconsistency cdo cnot chave cany cbearing con cmobility. cC
cby-product cof cimmobility cif ca cbowel cregimen cis cinstituted.
What cpercentage cof chip cfractures cis cthe cresult cof cfalls?
a.
50%
b.
80%
c.
90%
d.
100% c- cCORRECT cANS✔✔ANS: cC
About c90% cof cfalls cend cwith ca chip cfracture.
The clack cof cweight cbearing cleads cto cwhat ceffects con cthe cskeletal csystem?
a.
Demineralization, ccalcium closs
b.
Thickened cbones
c.
Increased crange cof cmotion
d.
Increased ccalcium cdeposition cin cthe cbones c- cCORRECT cANS✔✔ANS: cA
Weight cbearing chelps cto cstrengthen cthe cbone. cLack cof cweight cbearing cmeans cthat cthe cbone ci
cthat cstrengthen cit. cThickened cbones cwill cnot coccur cwith cthe clack cof cweight cbearing. cRange co
cwith ca clack cof cweight cbearing cmovements.
The cnurse cassessing ca c54-year-old cfemale cpatient cwith cnewly cdiagnosed ctrigeminal cneuralgia
a.
visual cproblems ccaused cby cptosis.
b.
triggers cleading cto cfacial cdiscomfort.
c.
poor cappetite ccaused cby closs cof ctaste.
d.
weakness con cthe caffected cside cof cthe cface. c- cCORRECT cANS✔✔ANS: cB
The cmajor cclinical cmanifestation cof ctrigeminal cneuralgia cis csevere cfacial cpain cthat cis ctriggered
cthe cnerve. cPtosis, closs cof ctaste, cand cfacial cweakness care cnot ccharacteristics cof ctrigeminal cne
Which caction cshould cthe cnurse ctake cwhen cassessing ca cpatient cwith ctrigeminal cneuralgia?
a.
Have cthe cpatient cclench cthe cjaws.
b.
Inspect cthe coral cmucosa cand cteeth.
c.
Palpate cthe cface cto ccompare cskin ctemperature cbilaterally.
d.
Identify ctrigger czones cby clightly ctouching cthe caffected cside. c- cCORRECT cANS✔✔ANS: cB
Oral chygiene cis cfrequently cneglected cbecause cof cfear cof ctriggering cfacial cpain. cHaving cthe cpa
cwill cnot cbe cuseful cbecause cthe csensory cbranches cof cthe cnerve care caffected cby ctrigeminal cne
cpalpation cmay cbe ctriggers cfor cpain cand cshould cbe cavoided.
,c.
Teach cfacial crelaxation ctechniques.
d.
Spend ctime ctalking cwith cthe cpatient. c- cCORRECT cANS✔✔ANS: cA
The cpatient cwith can cacute cepisode cof ctrigeminal cneuralgia cmay cbe cunwilling cto ceat cor cdrink, c
cand chydration cstatus cis cimportant. cBecause cstimulation cby ctouch cis cthe cprecipitating cfactor cfo
cmuscles cwill cnot cimprove csymptoms. cApplication cof cice cis clikely cto cprecipitate cpain. cThe cpatie
cconversation, cwhich cmay cprecipitate cattacks.
The cnurse cidentifies ca cpatient cwith ctype c1 cdiabetes cand ca chistory cof cherpes csimplex cinfection
cpalsy. cWhich cinformation cshould cthe cnurse cinclude cin cteaching cthe cpatient?
a.
"You cmay cbe cable cto cprevent cBell's cpalsy cby cdoing cfacial cexercises cregularly."
b.
"Prophylactic ctreatment cof cherpes cwith cantiviral cagents cprevents cBell's cpalsy."
c.
"Medications cto ctreat cBell's cpalsy cwork conly cif cstarted cbefore cparalysis conset."
d.
"Call cthe cdoctor cif cyou cexperience cpain cor cdevelop cherpes clesions cnear cthe cear." c- cCORREC
Pain cor cherpes clesions cnear cthe cear cmay cindicate cthe conset cof cBell's cpalsy cand crapid ccortico
cthe cduration cof cBell's cpalsy csymptoms. cAntiviral ctherapy cfor cherpes csimplex cdoes cnot creduce
cCorticosteroid ctherapy cwill cbe cmost ceffective cin creducing csymptoms cif cstarted cbefore cparalysis
csomewhat ceffective cwhen cstarted clater. cFacial cexercises cdo cnot cprevent cBell's cpalsy.
A c32-year-old cpregnant cpatient cwith cBell's cpalsy crefuses cto ceat cwhile cothers care cpresent cbeca
cdrooling. cThe cbest cresponse cby cthe cnurse cis cto
a.
respect cthe cpatient's cfeelings cand carrange cfor cprivacy cat cmealtimes.
b.
teach cthe cpatient cto cchew cfood con cthe cunaffected cside cof cthe cmouth.
c.
offer cthe cpatient cliquid cnutritional csupplements cat cfrequent cintervals.
d.
discuss cthe cpatient's cconcerns cwith cvisitors cwho carrive cat cmealtimes. c- cCORRECT cANS✔✔AN
The cpatient's cdesire cfor cprivacy cshould cbe crespected cto cencourage cadequate cnutrition cand cred
cLiquid csupplements cwill creduce cthe cpatient's cenjoyment cof cthe ctaste cof cfood. cIt cwould cbe cina
cdiscuss cthe cpatient's cembarrassment cwith cvisitors cunless cthe cpatient cwishes cto cshare cthis cinf
cunaffected cside cof cthe cmouth cwill cenhance cnutrition cand cenjoyment cof cfood cbut cwill cnot cdecr
Which cnursing caction cwill cthe chome chealth cnurse cinclude cin cthe cplan cof ccare cfor ca cpatient cwi
cin corder cto cprevent cautonomic cdysreflexia?
a.
Support cselection cof ca chigh-protein cdiet.
b.
Discuss coptions cfor csexuality cand cfertility.
c.
Assist cin cplanning ca cprescribed cbowel cprogram.
d.
Use cquad ccoughing cto cstrengthen ccough cefforts. c- cCORRECT cANS✔✔ANS: cC
Fecal cimpaction cis ca ccommon cstimulus cfor cautonomic cdysreflexia. cDietary cprotein, ccoughing, ca
cshould cbe cincluded cin cthe cplan cof ccare cbut cwill cnot creduce cthe crisk cfor cautonomic cdysreflexia
Which cassessment cdata cfor ca cpatient cwho chas cGuillain-Barré csyndrome cwill crequire cthe cnurse
a.
The cpatient's ctriceps creflexes care cabsent.
, d.
infusion cof cimmunoglobulin c(Sandoglobulin). c- cCORRECT cANS✔✔ANS: cD
Because cthe cGuillain-Barré csyndrome cis cin cthe cearliest cstages c(as cevidenced cby cthe csymptom
cimmunoglobulin cis cappropriate cto creduce cthe cextent cand clength cof csymptoms. cMechanical cven
cmay cbe cused clater cin cthe cprogression cof cthe csyndrome cbut care cnot cneeded cnow. cCorticoster
creducing cthe cduration cor csymptoms cof cthe csyndrome.
A cconstruction cworker carrives cat can curgent ccare ccenter cwith ca cdeep cpuncture cwound cafter can
cThe cpatient creports chaving chad ca ctetanus cbooster c6 cyears cago. cThe cnurse cwill canticipate
a.
IV cinfusion cof ctetanus cimmune cglobulin c(TIG).
b.
administration cof cthe ctetanus-diphtheria c(Td) cbooster.
c.
intradermal cinjection cof can cimmune cglobulin ctest cdose.
d.
initiation cof cthe ctetanus-diphtheria cimmunization cseries. c- cCORRECT cANS✔✔ANS: cB
If cthe cpatient chas cnot cbeen cimmunized cwithin c5 cyears, cadministration cof cthe cTd cbooster cis cin
cdeep. cImmune cglobulin cadministration cis cgiven cby cthe cIM croute cif cthe cpatient chas cno cpreviou
cof ca cseries cof cimmunization cis cnot cindicated. cTIG cis cnot cindicated cfor cthis cpatient, cand ca ctes
cimmune cglobulin.
The cnurse cis cadmitting ca cpatient cwith ca cneck cfracture cat cthe cC6 clevel cto cthe cintensive ccare cu
cfinding(s) cindicate(s) cneurogenic cshock?
a.
Hyperactive creflex cactivity cbelow cthe clevel cof cinjury
b.
Involuntary, cspastic cmovements cof cthe carms cand clegs
c.
Hypotension, cbradycardia, cand cwarm, cpink cextremities
d.
Lack cof csensation cor cmovement cbelow cthe clevel cof cinjury c- cCORRECT cANS✔✔ANS: cC
Neurogenic cshock cis ccharacterized cby chypotension, cbradycardia, cand cvasodilation cleading cto cw
cSpasticity cand chyperactive creflexes cdo cnot coccur cat cthis cstage cof cspinal ccord cinjury. cLack cof
cindicate cspinal ccord cinjury, cbut cnot cneurogenic cshock.
A cpatient chas can cincomplete cleft cspinal ccord clesion cat cthe clevel cof cT7, cresulting cin cBrown-Séq
cnursing caction cshould cbe cincluded cin cthe cplan cof ccare?
a.
Assessment cof cthe cpatient cfor cright carm cweakness
b.
Assessment cof cthe cpatient cfor cincreased cright cleg cpain
c.
Positioning cthe cpatient's cleft cleg cwhen cturning cthe cpatient
d.
Teaching cthe cpatient cto clook cat cthe cright cleg cto cverify cits cposition c- cCORRECT cANS✔✔ANS:
The cpatient cwith cBrown-Séquard csyndrome chas closs cof cmotor cfunction con cthe cipsilateral cside
cmove cthe cleft cleg. cPain csensation cwill cbe clost con cthe cpatient's cright cleg. cArm cweakness cwill c
cpatient cwith ca cT7 cinjury. cThe cpatient cwill cretain cposition csense cfor cthe cright cleg.
The cnurse cwill cexplain cto cthe cpatient cwho chas ca cT2 cspinal ccord ctransection cinjury cthat
a.
use cof cthe cshoulders cwill cbe climited.
b.
function cof cboth carms cshould cbe cretained.
