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Exam (elaborations)

RNSG 2539 Exam 3 Questions With 100% Verified Answers

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  • RNSG 2539

RNSG 2539 Exam 3 Questions With 100% Verified Answers Flexion Spinal Cord Injury - answerthink whiplash injuries in MVA's. Cervical spine ruptures posterior ligaments hyperextension spinal cord injury - answerHead is suddenly accelerated then decelerated -Ex. Diving (hit face), fall with chin ...

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  • October 2, 2024
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  • 2024/2025
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  • RNSG 2539
  • RNSG 2539
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RNSG 2539 Exam 3 Questions With 100%
Verified Answers


Flexion Spinal Cord Injury - answer✔think whiplash injuries in MVA's. Cervical spine ruptures
posterior ligaments

hyperextension spinal cord injury - answer✔Head is suddenly accelerated then decelerated


-Ex. Diving (hit face), fall with chin strike, rear end collision (break happens in front of spine)

Compression fractures of spinal cord - answer✔compression of spinal cord caused by fractured
vertebrae

flexion-rotation spinal cord injury - answer✔displacement of vertebrae
think of a fall, or violent collision. Ex. Christopher Reeve

injury to cervical spine causes - answer✔injury to C4 causes tetraplegia from neck down
injury to c6 causes tetraplegia from shoulders down

injury to thoracic spine - answer✔Paralysis in legs and thoracic region but arms can still function
Loss of bowel and bladder control
Pain

injury to lumbar spine - answer✔paralysis of legs and pelvic region
Loss of bowel and bladder control
Pain
Sensory changes
Spasticity and weakness

medical interventions for spinal injury's - answer✔c-spine immobilization
•The patient is kept on the transfer board.

, ©BRAINBARTER 2024/2025


•No part of the body should be twisted or turned, and the patient is not allowed to sit up.
•If cervical fracture is found the patient may be placed on a rotating specialty bed with cervical
traction
•Or in a cervical collar with a hard bed
•Or a halo vest

nursing interventions for spinal cord injury - answer✔- immobilization
- assess resp dysfunction
- assess cardio fxn
- monitor s/s of hypovolemic shock
- assess nutritional status and presence of stress ulcers
- assess urinary and bowel fxn
- assess environment for temp control
- assess pain
- SCD, TED
- medications

surgery options for spinal cord injury - answer✔Surgery is indicated if:
•Compression of the cord is evident.
•Fragmented or unstable vertebral body.
•A wound that penetrates the cord.
•Neurologic status is deteriorating.
•Early stabilization improves outcome
•Goal: stabilize & remove pressure to preserve function
Medication
•High-dose IV corticosteroids (methylprednisolone)

spinal shock s/s - answer✔decreased reflexes, loss of sensation, and flaccid paralysis below the
level of injury

nursing diagnosis for high cervical spinal cord injury if pt is intubated - answer✔risk for injury

, ©BRAINBARTER 2024/2025


what can be done to combat venous pooling and low bp in a patient with spinal cord injury -
answer✔tilt gunnery or wheelchair

What is neurogenic bladder - answer✔-Lack of nerve supply to the bladder
-Person can't feel when bladder is full
-Must use catheter to void

clinical manifestations of neurogenic bladder - answer✔- poor voiding due to inability to feel
need to void
- overflow incontinence so full bladder cannot feel, incontinent

assessment and diagnostic findings for neurogenic bladder - answer✔measurement of fluid
intake, urine output, and residual urine volume; urinalysis; and assessment of sensory awareness
of bladder fullness and degree of motor control.

Medical management for neurogenic bladder - answer✔continuous, intermittent, or self-
catheterization
an external condom-type catheter
a diet low in calcium (to prevent calculi)
encouragement of mobility and ambulation.

Medications for neurogenic bladder - answer✔Parasympathomimetic medications, such as
bethanechol (Urecholine), may help to increase the contraction of the detrusor muscle.

coup-contrecoup brain injury - answer✔When the brain continues to move forward after a rapid
stop, striking the inside of the skull, resulting in a compression injury or bruising to the anterior
of the brain and stretching or tearing to the posterior of the brain.

diffuse brain injury - answer✔Include concussions and diffuse axonal injuries
Involve microscopic damage to cells
Most common mechanisms of injury include acceleration-deceleration injuries and rotational
forces
involves large portion of the brain

Concussion (brain injury) - answer✔blow to head causing trauma from minor to severe. if lose
consciousness may result in memory loss

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