©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
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
Page 2/80
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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
Page 3/80
, ©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
Page 4/80
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
Page 2/80
, ©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
Page 3/80
, ©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
Page 4/80
