Nurs 260 Neuro Exam 2 QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
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Terms in this set (158)
What is a spinal cord injury? A damage to the spinal cord that results in partial
or complete loss of motor function, sensory
function, or both below the level of injury.
What are common causes of spinal 38%- Motor Vehicle Collisions
cord injury? 30%- Falls
14%- Violence
9%- Sports Injuries
9%- other miscellaneous cases.
What is "level of injury?" Refers to the lowest spinal segment where normal
motor and sensory function is presented.
,What is the difference between Complete: Total loss of sensory and motor function
"complete" and "incomplete" injury? below level of injury.
Incomplete: (Partial) - Mixed loss of voluntary
motor activity and sensation. Some tracts intact.
Why do I need to know the The difference helps determine prognosis,
difference between complete and rehabilitation potential, and expected recovery.
incomplete. Patients with incomplete injuries generally have
better functional outcomes.
What is paralysis? the loss of voluntary muscle movement caused by
damage to the nervous system.
What is tetraplegia? (Quadriplegia) is paralysis affecting all four
extremities and the trunk, usually caused by a
cervical spinal cord injury.
,What is paraplegia? is paralysis affecting the lower extremities and
lower trunk, typically caused by thoracic, lumbar,
or sacral spinal cord injury.
How would I prioritize care for a SCI Physiology Needs (Priority): ABCs, spinal
patient based on Maslow's Hierarchy stabilization.
of Needs? Safety Needs: Prevent further injury, skin
breakdown, infection, and falls.
Love/Belonging: Emotional support, family,
involvement.
Esteem: Encouraging independence and
participation in care.
Self-Actualization: Support rehab, and long-term
goal setting.
Which topic would the nurse n C.
anticipate teaching a patient who The patient's symptoms are consistent with
had a brief episode of tinnitus, transient ischemic attack (TIA), and drugs that
diplopia, and dysarthria with no inhibit platelet aggregation are prescribed after a
residual effects? TIA to prevent a stroke.
A. Cerebral aneurysm clipping
B. Heparin intravenous infusion
C. Oral low-dose aspirin therapy
D. Tissue plasminogen activator (tPA)
, A patient is being admitted with a D)
possible stroke. Which information A sudden onset headache is typical of a
from the nursing assessment subarachnoid hemorrhage. Atrial fibrillation and
indicates that the patient is more infective endocarditis are a risk factors for
likely to be having a hemorrhagic thrombotic or embolic stroke. Brief episodes of
stroke than a thromboembolic right-sided hemiplegia are consistent with transient
stroke? ischemic attack and risk for embolic stroke.
A. The patient has intermittent bouts
of atrial fibrillation.
B. The patient has had brief episodes
of right-sided hemiplegia.
C. The patient has a history of
treatment for infective endocarditis.
D. The patient reports that the
symptoms began with a severe
headache.
A patient being admitted with a D)
stroke has right-sided facial Right-sided paralysis indicates a left-brain stroke,
drooping and right-sided arm and which is also associated with difficulty in
leg paralysis. Which other finding comprehension and use of language: the left
would the nurse expect? hemisphere is dominant for language skills in right-
A. Impulsive behavior handed persons and in most left-handed persons.
B. Right-sided neglect Impulsive behavior and neglect are more likely
C. Hyperactive left-sided tendon with a right-side stroke. The left-side reflexes are
reflexes likely to be intact.
D. Difficulty comprehending
instructions
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
Save
Terms in this set (158)
What is a spinal cord injury? A damage to the spinal cord that results in partial
or complete loss of motor function, sensory
function, or both below the level of injury.
What are common causes of spinal 38%- Motor Vehicle Collisions
cord injury? 30%- Falls
14%- Violence
9%- Sports Injuries
9%- other miscellaneous cases.
What is "level of injury?" Refers to the lowest spinal segment where normal
motor and sensory function is presented.
,What is the difference between Complete: Total loss of sensory and motor function
"complete" and "incomplete" injury? below level of injury.
Incomplete: (Partial) - Mixed loss of voluntary
motor activity and sensation. Some tracts intact.
Why do I need to know the The difference helps determine prognosis,
difference between complete and rehabilitation potential, and expected recovery.
incomplete. Patients with incomplete injuries generally have
better functional outcomes.
What is paralysis? the loss of voluntary muscle movement caused by
damage to the nervous system.
What is tetraplegia? (Quadriplegia) is paralysis affecting all four
extremities and the trunk, usually caused by a
cervical spinal cord injury.
,What is paraplegia? is paralysis affecting the lower extremities and
lower trunk, typically caused by thoracic, lumbar,
or sacral spinal cord injury.
How would I prioritize care for a SCI Physiology Needs (Priority): ABCs, spinal
patient based on Maslow's Hierarchy stabilization.
of Needs? Safety Needs: Prevent further injury, skin
breakdown, infection, and falls.
Love/Belonging: Emotional support, family,
involvement.
Esteem: Encouraging independence and
participation in care.
Self-Actualization: Support rehab, and long-term
goal setting.
Which topic would the nurse n C.
anticipate teaching a patient who The patient's symptoms are consistent with
had a brief episode of tinnitus, transient ischemic attack (TIA), and drugs that
diplopia, and dysarthria with no inhibit platelet aggregation are prescribed after a
residual effects? TIA to prevent a stroke.
A. Cerebral aneurysm clipping
B. Heparin intravenous infusion
C. Oral low-dose aspirin therapy
D. Tissue plasminogen activator (tPA)
, A patient is being admitted with a D)
possible stroke. Which information A sudden onset headache is typical of a
from the nursing assessment subarachnoid hemorrhage. Atrial fibrillation and
indicates that the patient is more infective endocarditis are a risk factors for
likely to be having a hemorrhagic thrombotic or embolic stroke. Brief episodes of
stroke than a thromboembolic right-sided hemiplegia are consistent with transient
stroke? ischemic attack and risk for embolic stroke.
A. The patient has intermittent bouts
of atrial fibrillation.
B. The patient has had brief episodes
of right-sided hemiplegia.
C. The patient has a history of
treatment for infective endocarditis.
D. The patient reports that the
symptoms began with a severe
headache.
A patient being admitted with a D)
stroke has right-sided facial Right-sided paralysis indicates a left-brain stroke,
drooping and right-sided arm and which is also associated with difficulty in
leg paralysis. Which other finding comprehension and use of language: the left
would the nurse expect? hemisphere is dominant for language skills in right-
A. Impulsive behavior handed persons and in most left-handed persons.
B. Right-sided neglect Impulsive behavior and neglect are more likely
C. Hyperactive left-sided tendon with a right-side stroke. The left-side reflexes are
reflexes likely to be intact.
D. Difficulty comprehending
instructions
