Question 1

The health-care provider prescribes myelography for a client who sustained a spinal cord injury. Which is the rationale for this diagnostic test?

Accepted Answer

A) To provide a detailed picture of the intervertebral discs 
B) To provide information on the integrity of the carotid arteries 
C) To look for obstructed cerebrospinal fluid (CSF) flow around the spinal cord 
D) To show malalignment of the bones that may aggravate injury to the spinal cord 
A) To provide a detailed picture of the intervertebral discs 
B) To provide information on the integrity of the carotid arteries 
C) To look for obstructed cerebrospinal fluid (CSF) flow around the spinal cord 
D) To show malalignment of the bones that may aggravate injury to the spinal cord

Question 2

The registered nurse is teaching about Brown-Séquard syndrome to a group of student nurses. Which statement made by the student nurse indicates effective learning?

Accepted Answer

A) "Brown-Séquard syndrome causes incontinence." 
B) "Brown-Séquard syndrome results in disrupted aortic blood flow." 
C) "Brown-Séquard syndrome is characterized by swelling of the neuronal axons." 
D) "Brown-Séquard syndrome is associated with penetrating injuries that lead to the hemisection of the spinal cord." 
A) "Brown-Séquard syndrome causes incontinence." 
B) "Brown-Séquard syndrome results in disrupted aortic blood flow." 
C) "Brown-Séquard syndrome is characterized by swelling of the neuronal axons." 
D) "Brown-Séquard syndrome is associated with penetrating injuries that lead to the hemisection of the spinal cord."

Question 3

The nurse is reviewing neurogenic shock with staff nurses. Which statement made by an attending nurse indicates the need for additional review? Select all that apply.

Accepted Answer

A) "Neurogenic shock reduces the systemic blood pressure." 
B) "Neurogenic shock results in peripheral vasodilation." 
C) "Neurogenic shock causes flaccid muscles and paralysis." 
D) "Loss of the anal reflex is the hallmark sign of neurogenic shock." 
E) "Neurogenic shock is a lack of sympathetic outflow from the T1-L2 region." 
A) "Neurogenic shock reduces the systemic blood pressure." 
B) "Neurogenic shock results in peripheral vasodilation." 
C) "Neurogenic shock causes flaccid muscles and paralysis." 
D) "Loss of the anal reflex is the hallmark sign of neurogenic shock." 
E) "Neurogenic shock is a lack of sympathetic outflow from the T1-L2 region."

Question 4

Which manifestation does the nurse expect to find on assessment of a client with a skull fracture in the frontal fossa?

Accepted Answer

A) Whiplash 
B) Battle's sign 
C) Thunderclap headache 
D) Periorbital ecchymosis 
A) Whiplash 
B) Battle's sign 
C) Thunderclap headache 
D) Periorbital ecchymosis

Exam 35: Brain and Spinal Cord Injury

The health-care provider prescribes myelography for a client who sustained a spinal cord injury. Which is the rationale for this diagnostic test?

The registered nurse is teaching about Brown-Séquard syndrome to a group of student nurses. Which statement made by the student nurse indicates effective learning?

The nurse is reviewing neurogenic shock with staff nurses. Which statement made by an attending nurse indicates the need for additional review? Select all that apply.

Which manifestation does the nurse expect to find on assessment of a client with a skull fracture in the frontal fossa?

The Cell in Health and Illness

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