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NU410 Exam 3 Study Guide with Complete Solutions $12.49   Add to cart

Exam (elaborations)

NU410 Exam 3 Study Guide with Complete Solutions

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  • NU 2024
  • Institution
  • NU 2024

NU410 Exam 3 Study Guide with Complete Solutions Incomplete SCI - Ans:-- Some function remaining below primary site of injury - Motor and sensory are partially interrupted with vlibre franklinble loss of function below level of injury - Degree of sensory and motor loss varies on level and refle...

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  • October 24, 2024
  • 80
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 2024
  • NU 2024
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




NU410 Exam 3 Study Guide with
Complete Solutions


Incomplete SCI - Ans:✔✔-- Some function remaining below primary site of injury


- Motor and sensory are partially interrupted with vlibre franklinble loss of function below level of injury


- Degree of sensory and motor loss varies on level and reflects specific nerve tracts damaged and those

spared


- May demonstrate a mixture of symptoms


Assessment and Diagnostic Findings of Spinal Cord Injury (SCI) - Ans:✔✔-- Detailed Neuro Assessment


- X-Rays


- CT scan


- MRI (myelogram if contraindicated)


- Continuous Cardiac Monitoring


Emergency Management of Spinal Cord Injury (SCI) - Ans:✔✔-- Rapid Assessment


Page 1/80

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- Immobilization


- Extrication


- Stabilization


- Transport


Medical Management (Acute Phase) of Spinal Cord Injury (SCI) - Ans:✔✔-- Respiratory Therapy


- Diaphragmatic pacing


- Skeletal Fracture Reduction and Traction


- Surgical Management


- Pharmacologic Therapy


Care of client with Halo Device for Spinal Injury - Ans:✔✔-- Ensure that wrench to release rods is

attached to vest when using halo traction in the event CPR is necessary


- Maintain body alignment and ensure cervical tong weights hang freely


- Monitor skin integrity by providing pin care and assessing skin under halo fixation vest as appropriate


- Don't use halo device to turn or move a client


- If client goes home with a halo fixation device on, provide instruction on pin and vest care

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- Teach client signs of infection and skin breakdown


Halo Device Nursing Considerations - Ans:✔✔-- Ensure pulley is free of knots, fraying and loosening

every 8-12 hours


- Notify provider if patient experiences severe pain from muscle spasms (unrelieved by meds or

positioning)


- Assess neurovascular every hour for 24 hours


- Provide pin care once a shift, 1-2 times a day


A nurse is preparing to discharge a client who has halo device and is reviewing new prescriptions from

the provider. The nurse should clarify which of the following prescriptions with the provider?


a. Increase intake of fiber-rich foods


b. May place a small pillow under head when sleeping


c. May operate a motor vehicle when no longer taking analgesics


d. Take a tub bath instead of showers - Ans:✔✔-c. May operate a motor vehicle when no longer taking

analgesics


Complications of Spinal Cord Injury (SCI) - Ans:✔✔-- Spinal Shock


- Neurogenic Shock

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- Autonomic Dysreflexia


Spinal Shock - Ans:✔✔-- Spinal cord's response to inflammation caused by the SCI (secondary injury)


- A sudden loss of reflex activity below level of spinal injury


- Muscular flaccidity, lack of sensation and reflexes


- Client can have hypotension and bradycardia


- Reflexes that initial bowel and bladder function affected, bowel distension and paralytic ileus occur


Spinal Shock Care - Ans:✔✔-- Keeping mean arterial pressure at least 85 mm Hg can prevent further

damage to spinal cord


- NG tube


- Control of hypotension & bradycardia w/meds


Neurogenic Shock - Ans:✔✔-- Caused by loss of function of autonomic nervous system


- Loss of communication with sympathetic nervous system cause bradycardia, hypotension, dependent

edema, loss of temperature regulation


- Massive venous pooling occurs because of peripheral vasodilation (distributive shock)


- Paralyzed portions of body do not perspire


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