Examen
RNSG 2432 - Spinal cord injury/ spinal tumors/ herniated disks Questions With Complete Solutions
- Cours
- Établissement
RNSG 2432 - Spinal cord injury/ spinal tumors/ herniated disks Questions With Complete Solutions
[Montrer plus]
Vendeur
S'abonner
Classroom
Avis reçus
Aperçu du contenu
RNSG 2432 - Spinal cord injury/ spinal tumors/ herniateddisks Questions With Complete Solutions
Contrast the difference between extradural, intradural
extramedullary, and intradural intrameduallary spinal cord
tumors. Which one has the worst prognosis? Correct Answer
Intraspinal Extradural Tumors = located within the Spinal Canal
& outside the Dura Mater. Most are metastatic tumors
(cancerous tumors which have spread from another organ),
which arise within the vertebrae themselves. (can be seen early
on xray)
Intradural-Extramedullary Tumors = arising inside the dura
mater, but outside the actual substance of the spinal cord. The
majority of these tumors are Neurofibromas (nerve sheath
tumors) or Meningiomas
- mostly benign; require MRI/CT for detection
Intradural intramedullary tumors = arising within the substance
of the spinal cord itself. These are usually Astrocytomas or
Ependymomas.
- Least frequent; require MRI/CT for detection *(worst
prognosis)*
Describe emergency care (on the scene/in ED) for the spinal
cord injured- Why might an NG tube to drainage and a Foley
catheter used in the acute SCI individual? Correct Answer Find
out the mechanism of injury
Do not remove helmet at scene
NEVER put a pt on a backboard without a C collar
Transport with cervical collar and logroll!!!
,Assess ABC's
IV x2 large bore
Foley - for flaccid bladder from spinal shock
NG tube to suction - may have paralytic shock
CMS (circulation, movement, sensation) circulation - pulse and
capillary refill
Describe the clinical manifestations expected from each of the
following spinal cord injuries. Why do they occur?
a) Complete (transaction) spinal cord injury Correct Answer
totally damaged cord horizontally & post spinal shock the
individual will have:
a. Motor deficits: hyperreflexia, spastic paralysis below the level
of injury.
b. Sensory deficits: loss of touch pressure, temp, pain, vibration
& proprioception from below the level of injury.
c. Autonomic deficits: vasomotor failure resulting in orthostatic
hypotension, poikilothermic (take on the temp of the
environment) & parasympathetic spastic bladder
Describe the clinical manifestations expected from each of the
following spinal cord injuries. Why do they occur?
b) Incomplete- Brown-Sequard Syndrome Correct Answer
result of damage to one half on the spinal cord, usually the result
of penetrating injury; characterized by:
- loss of motor function, sensation, vibration, position on the
same side as injury (ipsilateral)
- opposite side has loss of pain and temp sensation below the
level of the injury (contralateral)
, Describe the clinical manifestations expected from each of the
following spinal cord injuries. Why do they occur?
c) Incomplete- Anterior Cord Syndrome Correct Answer -
Injury to the anterior part of the cord; loss of motor (Pyramidal
track), loss of pain and temperature below the level of injury
-Posterior tract not injured, touch, position, vibration, motion
stay intact
Describe the clinical manifestations expected from each of the
following spinal cord injuries. Why do they occur?
d) Incomplete - Posterior Correct Answer *****Least frequent
syndrome
Injury to the posterior (dorsal) columns
Loss of proprioception
Pain, temp, sensation & motor function below the level of the
lesion remain INTACT.
Describe the clinical manifestations expected from each of the
following spinal cord injuries. Why do they occur?
e) Incomplete- Central Cord Syndrome Correct Answer injury
to the center of the cord by edema and hemorrhage; usually cord
is compressed between vertebra
- weakness in both upper extremities
- legs are spared; varied loss of sensation
Describe what you can expect to see/functional goals and
nursing concerns with complete spinal cord lesion of:
a) C1 - C3
b) C6
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur Classroom. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour €12,61. Vous n'êtes lié à rien après votre achat.
Peut-on faire confiance à Stuvia ?
4.6 étoiles sur Google & Trustpilot (+1000 avis)
80364 résumés ont été vendus ces 30 derniers jours
Fondée en 2010, la référence pour acheter des résumés depuis déjà 14 ans