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RNSG 1538 TEST QUESTIONS WITH COMPLETE ANSWERS
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RNSG 1538 TEST QUESTIONS WITH COMPLETE ANSWERS
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RNSG 1538 TEST QUESTIONS WITHCOMPLETE ANSWERS
Pain
Pallor
Paresthesia
Pulses
Poikilothermic (polar)
Paralysis - Answer-What are the 6 P's of a neurovascular assessment?
Q1 hour for the first 4 hours
Q2 hours for 8 hours
Q2-4 hours and PRN depending on treatment and type of fracture - Answer-How often
should neuromuscular assessments be done for a fracture?
1. Release the wrap
2. Bi-valve the cast
3. Hydration
4. Fasciotomy- physician - Answer-What is the treatment for compartment syndrome?
Ligament is stretched or torn - Answer-What is a sprain?
Tendon is stretched or torn - Answer-What is a strain?
Compression of the nerve that passes through a channel in the wrist- inflammation
causes symptoms - Answer-What causes carpal tunnel?
Phalen's sign or the reverse prayer sign is performed by flexing wrists maximally and
holding position for _______ while pushing both wrists together (carpal tunnel)? -
Answer-What is the diagnostic test for carpel tunnel?
Smoking
Obesity
Caffeine
Repetitive movements - Answer-What behaviors put people at risk for carpal tunnel? 4
Rapid growth
Restrictive footwear
Congenital - Answer-What are the causes of bunions?
Shoe change
Steroid injections
Surgery- osteotomy and fusion - Answer-What are treatments for bunions-Hallux
Valgus?
, Flaccid paralysis
Loss of DTR's, sensation, sphincter reflex
Lasting days to weeks - Answer-What are the S/S of spinal shock?
Plantar reflex
1-3 days - Answer-What is the first reflex to return in spinal shock? When does it
typically return?
Hyperreflexia- synapse growth - Answer-What typically happens to reflexes within 1-4
weeks of spinal shock?
Continues hyperreflexia May develop spasticity - Answer-What typically happens to
reflexes and muscle function during the first 12 months of spinal shock?
Autonomic Dysreflexia/Hyperreflexia - Answer-A cardiovascular reaction that may
happen in patients with an injury at T6 or higher.
From stimulation from the intact spinal cord below the spinal cord injury causes
vasoconstriction which increases blood pressure. The parasympathetic nervous system
cannot counteract the affects due to the injury - Answer-What causes autonomic
dysreflexia/hyperreflexia?
Distended bladder or rectum- most common
Stimulation of pain receptors - Answer-What precipitates autonomic dysreflexia?
Hypertension
Throbbing headache
Diaphoresis and flushing above the SCI
Bradycardia
Blurred vision or spots
Anxiety
Nausea
Nasal congestion
Pallor below injury - Answer-What are the clinical manifestations if autonomic
dysreflexia?
Elevate HOB 45 degrees or upright
Determine the cause of stimulation
Notify the HCP
Catheterization if bladder is cause
Remove all skin stimuli- tight clothes
Administer short duration cardiac meds - Answer-What are the nursing interventions for
autonomic dysreflexia? 6
Nitroglycerin
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