NR 443 CHAPTER 29: SPINAL CORD INJURY | VERIFIED SOLUTION

NR 443 CHAPTER 29: SPINAL CORD INJURY Chapter 29: Spinal Cord Injury Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse explains that the spinal cord extends from the brainstem to the level of which vertebra? a. Last thoracic b. Second lumbar c. First sacral d. Coccygeal On admission to the emergency department, a patient with a C5 compression fracture can move only his head and has flaccid paralysis of all extremities. The distraught family asks if the paralysis is permanent. What is the best response by the nurse? a. “Yes. In all likelihood, the paralysis is probably permanent.” b. “No. Significant recovery of function should occur in a few days.” c. “It is too early to tell. When the spinal shock subsides, we will know more.” d. “You should talk to your physician about things of that nature.” Which assessment would indicate the resolution of spinal shock? a. Extension and rigidity in affected limbs b. Spastic involuntary movements in affected limbs c. Tingling and burning in affected limbs d. Voluntary purposeful movements of affected limbs Which assessment leads the emergency department nurse to suspect that a patient’s spinal cord injury (SCI) is below C4? a. Voluntary eye movement b. Ability to blink the eyelids c. Unlabored respiration d. Ability to make a facial grimace