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RNSG 2539 EXAM 3 Cognition Latest
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update 2023-2024 Questions And Answers
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Flexion Spinal Cord Injury - ANSWER--think whiplash injuries in MVA's.
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Cervical spine ruptures posterior ligaments
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hyperextension spinal cord injury - ANSWER--Head is suddenly
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accelerated then decelerated
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-Ex. Diving (hit face), fall with chin strike, rear end collision (break happens
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in front of spine)
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Compression fractures of spinal cord - ANSWER--compression of spinal
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cord caused by fractured vertebrae
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flexion-rotation spinal cord injury - ANSWER--displacement of vertebrae
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think of a fall, or violent collision. Ex. Christopher Reeve
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injury to cervical spine causes - ANSWER--injury to C4 causes tetraplegia
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from neck down injury to c6 causes tetraplegia from shoulders down
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injury to thoracic spine - ANSWER--Paralysis in legs and thoracic region
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but arms can still function Loss of bowel and bladder control
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Pain
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injury to lumbar spine - ANSWER--paralysis of legs and pelvic region
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Loss of bowel and bladder control
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Pain ne
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Sensory changes
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Spasticity and weakness
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medical interventions for spinal injury's - ANSWER--c-spine immobilization
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•The patient is kept on the transfer board.
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•No part of the body should be twisted or turned, and the patient is not
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allowed to sit up.
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•If cervical fracture is found the patient may be placed on a rotating
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specialty bed with cervical traction
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•Or in a cervical collar with a hard bed
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•Or a halo vest
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nursing interventions for spinal cord injury - ANSWER--- immobilization
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- assess resp dysfunction
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- assess cardio fxn
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- monitor s/s of hypovolemic shock
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- assess nutritional status and presence of stress ulcers
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- assess urinary and bowel fxn
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- assess environment for temp control
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- assess pain
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- SCD, TED
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- medications
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, ne
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surgery options for spinal cord injury - ANSWER--Surgery is indicated if:
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•Compression of the cord is evident.
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•Fragmented or unstable vertebral body.
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•A wound that penetrates the cord.
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•Neurologic status is deteriorating.
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•Early stabilization improves outcome
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•Goal: stabilize & remove pressure to preserve function
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Medication
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•High-dose IV corticosteroids (methylprednisolone)
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spinal shock s/s - ANSWER--decreased reflexes, loss of sensation, and
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flaccid paralysis below the level of injury
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nursing diagnosis for high cervical spinal cord injury if pt is intubated -
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ANSWER--risk for injury
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what can be done to combat venous pooling and low bp in a patient with
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spinal cord injury - ANSWER--tilt gunnery or wheelchair
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What is neurogenic bladder - ANSWER---Lack of nerve supply to the
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bladder
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-Person can't feel when bladder is full
la
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-Must use catheter to void
sh
Sp
ne
la
sh
Sp
la
Sp
tz
sh
ne
la
tz
sh
RNSG 2539 EXAM 3 Cognition Latest
Sp
ne
update 2023-2024 Questions And Answers
la
tz
sh
Sp
ne
la
Flexion Spinal Cord Injury - ANSWER--think whiplash injuries in MVA's.
tz
Cervical spine ruptures posterior ligaments
sh
Sp
ne
la
tz
hyperextension spinal cord injury - ANSWER--Head is suddenly
sh
Sp
accelerated then decelerated
ne
la
-Ex. Diving (hit face), fall with chin strike, rear end collision (break happens
tz
in front of spine)
sh
Sp
ne
la
Compression fractures of spinal cord - ANSWER--compression of spinal
tz
sh
Sp
cord caused by fractured vertebrae
ne
la
tz
sh
flexion-rotation spinal cord injury - ANSWER--displacement of vertebrae
Sp
ne
think of a fall, or violent collision. Ex. Christopher Reeve
la
tz
sh
Sp
ne
injury to cervical spine causes - ANSWER--injury to C4 causes tetraplegia
la
from neck down injury to c6 causes tetraplegia from shoulders down
tz
sh
Sp
ne
la
injury to thoracic spine - ANSWER--Paralysis in legs and thoracic region
tz
sh
but arms can still function Loss of bowel and bladder control
Sp
ne
Pain
la
tz
sh
Sp
ne
injury to lumbar spine - ANSWER--paralysis of legs and pelvic region
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
tz
sh
Loss of bowel and bladder control
Sp
Pain ne
la
tz
Sensory changes
sh
Sp
ne
Spasticity and weakness
la
tz
sh
Sp
medical interventions for spinal injury's - ANSWER--c-spine immobilization
ne
la
•The patient is kept on the transfer board.
tz
sh
Sp
•No part of the body should be twisted or turned, and the patient is not
ne
allowed to sit up.
la
tz
sh
•If cervical fracture is found the patient may be placed on a rotating
Sp
specialty bed with cervical traction
ne
la
•Or in a cervical collar with a hard bed
tz
sh
Sp
•Or a halo vest
ne
la
tz
sh
Sp
nursing interventions for spinal cord injury - ANSWER--- immobilization
ne
- assess resp dysfunction
la
tz
sh
- assess cardio fxn
Sp
ne
- monitor s/s of hypovolemic shock
la
tz
- assess nutritional status and presence of stress ulcers
sh
Sp
ne
- assess urinary and bowel fxn
la
tz
- assess environment for temp control
sh
Sp
- assess pain
ne
la
- SCD, TED
tz
sh
Sp
- medications
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
tz
sh
Sp
ne
surgery options for spinal cord injury - ANSWER--Surgery is indicated if:
la
tz
•Compression of the cord is evident.
sh
Sp
ne
•Fragmented or unstable vertebral body.
la
tz
•A wound that penetrates the cord.
sh
Sp
ne
•Neurologic status is deteriorating.
la
tz
•Early stabilization improves outcome
sh
Sp
ne
•Goal: stabilize & remove pressure to preserve function
la
Medication
tz
sh
Sp
•High-dose IV corticosteroids (methylprednisolone)
ne
la
tz
sh
Sp
spinal shock s/s - ANSWER--decreased reflexes, loss of sensation, and
ne
flaccid paralysis below the level of injury
la
tz
sh
Sp
ne
nursing diagnosis for high cervical spinal cord injury if pt is intubated -
la
ANSWER--risk for injury
tz
sh
Sp
ne
what can be done to combat venous pooling and low bp in a patient with
la
tz
spinal cord injury - ANSWER--tilt gunnery or wheelchair
sh
Sp
ne
la
What is neurogenic bladder - ANSWER---Lack of nerve supply to the
tz
sh
bladder
Sp
ne
-Person can't feel when bladder is full
la
tz
-Must use catheter to void
sh
Sp
ne
la
sh
Sp
la
Sp
