Spinal Cord Problems Test Questions And Already Passed Answers.
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Course
Spinal disorders
Institution
Spinal Disorders
7. Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia at the T4 level in order to prevent autonomic dysreflexia?
a. Support selection of a high-protein diet.
b. Discuss options for sexuality and fertility.
c. Assist in planning a presc...
Spinal Cord Problems Test Questions
And Already Passed Answers.
7. Which nursing action will the home health nurse include in the plan of care for a patient with
paraplegia at the T4 level in order to prevent autonomic dysreflexia?
a. Support selection of a high-protein diet.
b. Discuss options for sexuality and fertility.
c. Assist in planning a prescribed bowel program.
d. Use quad coughing to strengthen cough efforts. - Answer ANS: C
Fecal impaction is a common stimulus for autonomic dysreflexia. Dietary protein, coughing, and
discussing sexuality/fertility should be included in the plan of care but will not reduce the risk for
autonomic dysreflexia.
11. The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit. Which
assessment finding(s) indicate(s) neurogenic shock?
a. Hyperactive reflex activity below the level of injury
b. Involuntary, spastic movements of the arms and legs
c. Hypotension, bradycardia, and warm, pink extremities
d. Lack of sensation or movement below the level of injury - Answer ANS: C
, Neurogenic shock is characterized by hypotension, bradycardia, and vasodilation leading to warm skin
temperature. Spasticity and hyperactive reflexes do not occur at this stage of spinal cord injury. Lack of
movement and sensation indicate spinal cord injury, but not neurogenic shock
12. A patient has an incomplete left spinal cord lesion at the level of T7, resulting in Brown-Séquard
syndrome. Which nursing action should be included in the plan of care?
a. Assessment of the patient for right arm weakness
b. Assessment of the patient for increased right leg pain
c. Positioning the patient's left leg when turning the patient
d. Teaching the patient to look at the right leg to verify its position - Answer ANS: C
The patient with Brown-Séquard syndrome has loss of motor function on the ipsilateral side and will
require the nurse to move the left leg. Pain sensation will be lost on the patient's right leg. Arm
weakness will not be a problem for a patient with a T7 injury. The patient will retain position sense for
the right leg.
13. The nurse will explain to the patient who has a T2 spinal cord transection injury that
a. use of the shoulders will be limited.
b. function of both arms should be retained.
c. total loss of respiratory function may occur.
d. tachycardia is common with this type of injury. - Answer ANS: B
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