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Chamberlain NR 325 Exam 2 WITH COMPLETE SOLUTIONS GRADED A+
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11/4/24, 4:42 AM Chamberlain NR 325 Exam 2 Flashcards | QuizletChamberlain NR 325 Exam 2 WITH COMPLETE
SOLUTIONS GRADED A+
Which sided stroke has impaired Left-Sided
speech/language aphasia; impaired
right/left discrimination; slow
performance/cautious,; depression/anxiety;
impaired comprehension.
Which sided stroke has spatial perception Right-sided
deficits; denying/minimizing; rapid
performance/short attention;
impulsiveness; impaired judgment;
impaired time.
_____ are the confirming diagnostic studies CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic
for stroke. resonance angiography (MRA)
_____ are the confirming laboratory studies Prothrombin time, activated partial thromboplastin time; CBC (including platelets);
for stroke. Electrolyte panel with blood glucose; Lipid profile; Renal and hepatic studies
Recombinant tissue plasminogen activator Ischemic stroke
(tPA) is used to produce localized
fibrinolysis by binding to the fibrin in the
thrombi, and is the immediate treatment for
_____ _____.
Aspirin at a dose of 325 mg may be started ischemic
within 24 to 48 hours after the onset of an
_____ stroke.
Anticoagulants and platelet inhibitors are hemorrhagic
contraindicated in patients with _____
strokes.
The main drug therapy for patients with _____ hemorrhagic
stroke is the management of hypertension.
The _______ of a spinal cord injury (SCI) is primary injury
initial physical disruption of the spinal cord.
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, 11/4/24, 4:42 AM Chamberlain NR 325 Exam 2 Flashcards | Quizlet
The _______ of a spinal cord injury is from secondary injury
processes, such as ischemia, hypoxia,
hemorrhage, edema
_____ _____ may occur shortly after acute SCI. It Spinal shock
is characterized by loss of deep tendon
and sphincter reflexes, loss of sensation,
and flaccid paralysis below the level of
injury.
_____ _____ involvement results in total loss of Complete cord
sensory and motor function below the level
of injury.
_____ _____ involvement results in a mixed loss Incomplete cord
of voluntary motor activity and sensation
and leaves some tracts intact.
Often fatal; Movement in neck and above, loss of innervation to diaphragm, absence
SCI at C1-C3
of independent respiratory function
Sensation and movement in neck and above; May be able to breathe without
SCI at C4
ventilator
Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or use
SCI at C5
hands; ↓ Respiratory reserve
Shoulder and upper back abduction and rotation at shoulder; Full biceps to elbow
SCI at C6
flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
All triceps to elbow extension, finger extensors and flexors; Good grasp with some
SCI at C7-C8
decreased strength; ↓ Respiratory reserve
Full innervation of upper extremities; Back, essential intrinsic muscles of hand; Full
SCI at T1-T6
strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve
Full, stable thoracic muscles and upper back; Functional intercostal muscles,
SCI at T6-T12
resulting in ↑ respiratory reserve
SCI at L1-L2 Varying control of legs and pelvis; Instability of lower back
SCI at L3-L4 Quadriceps and hip flexors; Absence of hamstring function, flail ankles
CT scan is the preferred imaging study to spinal canal compromise
diagnose the location and degree of injury
and the degree of ___________ _.
_____ is used to assess soft tissue injury, MRI
neurologic changes, unexplained
neurologic deficits, or worsening
neurologic condition in SCI.
Goals immediately after ___ include SCI
maintaining a patent airway, adequate
ventilation/breathing, and adequate
circulating blood volume (ABCs) and
preventing extension of spinal cord
damage (secondary injury).
_____ allows the patient to move and Halo fixation device
ambulate while cervical bones fuse
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