Question 1

The nurse correlates which clinical manifestations to autonomic dysreflexia in a patient with a spinal cord injury?

Accepted Answer

A) Hypertension with tachycardia 
B) Hypertension with bradycardia 
C) Hypotension with bradycardia 
D) Hypotension with tachycardia 
A) Hypertension with tachycardia 
B) Hypertension with bradycardia 
C) Hypotension with bradycardia 
D) Hypotension with tachycardia

Question 2

The nurse provides education to a patient who is newly diagnosed with multiple sclerosis (MS). Which patient statements indicate the need for additional teaching? Select all that apply.

Accepted Answer

A) "I may experience visual disturbances." 
B) "I may experience urinary incontinence." 
C) "I should not exercise because this may trigger an exacerbation." 
D) "I should alternate the eye patch every other day to help with the double vision." 
E) "I need to check the water temperature before I take a bath." 
A) "I may experience visual disturbances." 
B) "I may experience urinary incontinence." 
C) "I should not exercise because this may trigger an exacerbation." 
D) "I should alternate the eye patch every other day to help with the double vision." 
E) "I need to check the water temperature before I take a bath."

Question 3

The nurse is caring for a patient with multiple sclerosis. What actions does the nurse implement to increase venous return, prevent stiffness, and maintain muscle strength and endurance?

Accepted Answer

A) Administer interferon 
B) Administer corticosteroids 
C) Turn and reposition every 2 hours 
D) Encourage range-of-motion exercises 
A) Administer interferon 
B) Administer corticosteroids 
C) Turn and reposition every 2 hours 
D) Encourage range-of-motion exercises

Question 4

A patient with amyotrophic lateral sclerosis (ALS) is being prepared for discharge. What teaching would be essential for the family to receive before taking the patient home? Select all that apply.

Accepted Answer

A) Skin care 
B) Aspiration precautions 
C) Recognizing exacerbations 
D) Lower extremity circulation 
E) Strategies to lose weight 
A) Skin care 
B) Aspiration precautions 
C) Recognizing exacerbations 
D) Lower extremity circulation 
E) Strategies to lose weight

Question 5

The nurse is reviewing orders written for a patient with a new spinal cord injury. Which order does the nurse question?

Accepted Answer

A) Place on air mattress 
B) Insert a nasogastric tube and attach to low intermittent suction 
C) Insert indwelling urinary catheter; strict intake and output 
D) Dexamethasone (Decadron) 10 mg IVP now and repeat in 4 hours 
A) Place on air mattress 
B) Insert a nasogastric tube and attach to low intermittent suction 
C) Insert indwelling urinary catheter; strict intake and output 
D) Dexamethasone (Decadron) 10 mg IVP now and repeat in 4 hours

Question 6

A patient asks what smoking cigarettes has to do with low back pain. What is the best response to the patient?

Accepted Answer

A) "Nicotine in cigarettes decreases spinal blood flow." 
B) "Nicotine is linked to nutritional disorders." 
C) "Nicotine in cigarettes interferes with nutrients that supply the disk spaces." 
D) "Nicotine hinders the mobility of the vertebral spaces and interferes with nerve function." 
A) "Nicotine in cigarettes decreases spinal blood flow." 
B) "Nicotine is linked to nutritional disorders." 
C) "Nicotine in cigarettes interferes with nutrients that supply the disk spaces." 
D) "Nicotine hinders the mobility of the vertebral spaces and interferes with nerve function."

Question 7

A patient has a 4 cm spinal cord tumor located at T10. Which statement by the patient indicates the patient understands the treatment options?

Accepted Answer

A) "Surgery is the best treatment for this tumor." 
B) "I will need radiation therapy before surgery." 
C) "This tumor can be treated with chemotherapy." 
D) "The only treatment for this tumor is stereotactic radiosurgery." 
A) "Surgery is the best treatment for this tumor." 
B) "I will need radiation therapy before surgery." 
C) "This tumor can be treated with chemotherapy." 
D) "The only treatment for this tumor is stereotactic radiosurgery."

Question 8

The latest blood pressure reading for a patient with a spinal cord injury is 210/140 mm Hg. What action should the nurse take first?

Accepted Answer

A) Palpating for bladder distention 
B) Assessing for a bowel impaction 
C) Remeasuring the blood pressure 
D) Raising the head of the bed 45 degrees 
A) Palpating for bladder distention 
B) Assessing for a bowel impaction 
C) Remeasuring the blood pressure 
D) Raising the head of the bed 45 degrees

Question 9

The nurse correlates the new onset of back pain radiating down the left leg to which neurological disorder?

Accepted Answer

A) Meningitis 
B) Spinal cord tumor 
C) Multiple sclerosis 
D) Amyotrophic lateral sclerosis 
A) Meningitis 
B) Spinal cord tumor 
C) Multiple sclerosis 
D) Amyotrophic lateral sclerosis

Question 10

A patient with low back pain asks what aspirin is supposed to do help with the pain. How should the nurse respond to this patient?

Accepted Answer

A) "It depresses the central nervous system." 
B) "It blocks sodium channels and stops the formation of nerve impulses." 
C) "It blocks enzymes and chemicals in the body to decrease pain and inflammation." 
D) "It blocks the production of substances that trigger allergic and inflammatory reactions." 
A) "It depresses the central nervous system." 
B) "It blocks sodium channels and stops the formation of nerve impulses." 
C) "It blocks enzymes and chemicals in the body to decrease pain and inflammation." 
D) "It blocks the production of substances that trigger allergic and inflammatory reactions."

Exam 37: Coordinating Care for Patients With Spinal Cord Disorders

The nurse correlates which clinical manifestations to autonomic dysreflexia in a patient with a spinal cord injury?

The nurse provides education to a patient who is newly diagnosed with multiple sclerosis (MS). Which patient statements indicate the need for additional teaching? Select all that apply.

The nurse is caring for a patient with multiple sclerosis. What actions does the nurse implement to increase venous return, prevent stiffness, and maintain muscle strength and endurance?

A patient with amyotrophic lateral sclerosis (ALS) is being prepared for discharge. What teaching would be essential for the family to receive before taking the patient home? Select all that apply.

The nurse is reviewing orders written for a patient with a new spinal cord injury. Which order does the nurse question?

A patient asks what smoking cigarettes has to do with low back pain. What is the best response to the patient?

A patient has a 4 cm spinal cord tumor located at T10. Which statement by the patient indicates the patient understands the treatment options?

The latest blood pressure reading for a patient with a spinal cord injury is 210/140 mm Hg. What action should the nurse take first?

The nurse correlates the new onset of back pain radiating down the left leg to which neurological disorder?

A patient with low back pain asks what aspirin is supposed to do help with the pain. How should the nurse respond to this patient?

Foundations for Medical-Surgical Nursing

Interprofessional Collaboration and Care Coordination

Cultural Considerations

Ethical Concepts

Palliative Care and End-Of-Life Issues

Geriatric Implications for Medical-Surgical Nursing

Oxygen Therapy Management

Fluid and Electrolyte Management

Acidbase Balance

Overview of Infusion Therapies

Pain Management

Complementary and Alternative Care Initiatives

Overview of Cancer Care

Overview of Shock and Sepsis

Priorities for the Preoperative Patient

Priorities for the Intraoperative Patient

Priorities for the Postoperative Patient

Assessment of Immune Function

Coordinating Care for Patients With Immune Disorders

Coordinating Care for Patients With Connective Tissue Disorders

Coordinating Care for Patients With Multidrug-Resistant Organism Infectious Disorders

Coordinating Care for Patients With Hiv

Assessment of Respiratory Function

Coordinating Care for Patients With Infectious Respiratory Disorders

Coordinating Care for Patients With Upper Airway Disorders

Coordinating Care for Patients With Lower Airway Disorders

Coordinating Care for Critically Ill Patients With Respiratory Dysfunction

Assessment of Cardiovascular Function

Coordinating Care for Patients With Cardiac Dysrhythmia

Coordinating Care for Patients With Cardiac Disorders

Coordinating Care for Patients With Vascular Disorders

Coordinating Care for Critically Ill Patients With Cardiovascular Dysfunction

Assessment of Hematological Function

Coordinating Care for Patients With Hematological Disorders

Assessment of Neurological Function

Coordinating Care for Patients With Brain Disorders

Coordinating Care for Patients With Peripheral Nervous System Disorders

Coordinating Care for Critically Ill Patients With Neurological Dysfunction

Assessment of Endocrine Function

Coordinating Care for Patients With Pituitary Disorders

Coordinating Care for Patients With Adrenal Disorders

Coordinating Care for Patients With Thyroid and Parathyroid Disorders

Coordinating Care for Patients With Diabetes Mellitus

Assessment of Visual Function

Coordinating Care for Patients With Visual Disorders

Assessment of Auditory Function

Coordinating Care for Patients With Hearing Disorders

Assessment of Integumentary Function

Coordinating Care for Patients With Skin Disorders

Coordinating Care for Patients With Burns

Assessment of Musculoskeletal Function

Coordinating Care for Patients With Musculoskeletal Disorders

Coordinating Care for Patients With Musculoskeletal Trauma

Assessment of Gastrointestinal Function

Coordinating Care for Patients With Oral and Esophageal Disorders

Coordinating Care for Patients With Stomach Disorders

Coordinating Care for Patients With Intestinal Disorders

Coordinating Care for Patients With Hepatic Disorders

Coordinating Care for Patients With Biliary and Pancreatic Disorders

Assessment of Renal and Urinary Function

Coordinating Care for Patients With Renal Disorders

Coordinating Care for Patients With Urinary Disorders

Assessment of Reproductive Function

Coordinating Care for Female Patients With Reproductive and Breast Disorders

Coordinating Care for Male Patients With Reproductive and Breast Disorders

Coordinating Care for Patients With Sexually Transmitted Infection

Managing Care for the Adult Patient With Obesity

Substance Use Disorders in the Adult Population

Emergency, Trauma, and Environmental Injuries