Chamberlain NR 325 Exam 2, NR 325 Exam #2 2023

Chamberlain NR 325 Exam 2, NR 325 Exam #2 2023 Which sided stroke has impaired speech/language aphasia; impaired right/left discrimination; slow performance/cautious,; depression/anxiety; impaired comprehension. - CORRECT ANSWERS Left-Sided Which sided stroke has spatial perception deficits; denying/minimizing; rapid performance/short attention; impulsiveness; impaired judgment; impaired time. - CORRECT ANSWERS Right-sided _____ are the confirming diagnostic studies for stroke. - CORRECT ANSWERS CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA) _____ are the confirming laboratory studies for stroke. - CORRECT ANSWERS Prothrombin time, activated partial thromboplastin time; CBC (including platelets); Electrolyte panel with blood glucose; Lipid profile; Renal and hepatic studies Recombinant tissue plasminogen activator (tPA) is used to produce localized fibrinolysis by binding to the fibrin in the thrombi, and is the immediate treatment for _____ _____. - CORRECT ANSWERS Ischemic stroke Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an _____ stroke. - CORRECT ANSWERS ischemic Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes. - CORRECT ANSWERS hemorrhagic The main drug therapy for patients with _____ stroke is the management of hypertension. - CORRECT ANSWERS hemorrhagic The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal cord. - CORRECT ANSWERS primary injury The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia, hemorrhage, edema - CORRECT ANSWERS secondary injury _____ _____ may occur shortly after acute SCI. It is characterized by loss of deep tendon and sphincter reflexes, loss of sensation, and flaccid paralysis below the level of injury. - CORRECT ANSWERS Spinal shock _____ _____ involvement results in total loss of sensory and motor function below the level of injury. - CORRECT ANSWERS Complete cord _____ _____ involvement results in a mixed loss of voluntary motor activity and sensation and leaves some tracts intact. - CORRECT ANSWERS Incomplete cord SCI at C1-C3 - CORRECT ANSWERS Often fatal; Movement in neck and above, loss of innervation to diaphragm, absence of independent respiratory function SCI at C4 - CORRECT ANSWERS Sensation and movement in neck and above; May be able to breathe without ventilator SCI at C5 - CORRECT ANSWERS Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or use hands; ↓ Respiratory reserve SCI at C6 - CORRECT ANSWERS Shoulder and upper back abduction and rotation at shoulder; Full biceps to elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve SCI at C7-C8 - CORRECT ANSWERS All triceps to elbow extension, finger extensors and flexors; Good grasp with some decreased strength; ↓ Respiratory reserve SCI at T1-T6 - CORRECT ANSWERS Full innervation of upper extremities; Back, essential intrinsic muscles of hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve SCI at T6-T12 - CORRECT ANSWERS Full, stable thoracic muscles and upper back; Functional intercostal muscles, resulting in ↑ respiratory reserve SCI at L1-L2 - CORRECT ANSWERS Varying control of legs and pelvis; Instability of lower back SCI at L3-L4 - CORRECT ANSWERS Quadriceps and hip flexors; Absence of hamstring function, flail ankles CT scan is the preferred imaging study to diagnose the location and degree of injury and the degree of _____ _____ _____. - CORRECT ANSWERS spinal canal compromise _____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic deficits, or worsening neurologic condition in SCI. - CORRECT ANSWERS MRI Goals immediately after _____ include maintaining a patent airway, adequate ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing extension of spinal cord damage (secondary injury). - CORRECT ANSWERS SC