Chapter 50: Spinal Cord and Peripheral Nerve Problems

Chapter 50: Spinal Cord and Peripheral Nerve Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient involved in a rear-end collision is diagnosed with compression of C4-C5. The most likely cause of the injury is:

1.	Hyperflexion of the neck
2.	Hyperextension of the neck
3.	Rotation of the head and neck
4.	Direct blow to the top of the head

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

2. Which deficit corresponds with Brown-Séquard’s syndrome as a result of a gunshot wound to the right side of the spinal cord?

1.	Loss of motor function in the upper extremities only
2.	Loss of deep-touch sensation on the left side
3.	Loss of pain and temperature on the left side
4.	Paralysis on the left side

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

3. After an initial insult that compresses the spinal cord, a secondary cord injury occurs. This additional injury is a result of the:

1.	Complete transection of the cord
2.	Improper handling at the accident site
3.	Inflammatory response to the primary injury
4.	Extension of the primary injury during transport

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

4. After a fall, a patient’s vital signs at the accident site are pulse of 40 beats/min, blood pressure of 84/40 mm Hg, respirations of 14/min, and temperature of 95º F. His lower extremities are flaccid, bowel sounds are absent, and the bladder is distended. The patient is exhibiting:

1.	Tetraplegia
2.	Spinal shock
3.	Autonomic dysreflexia
4.	Brown-Séquard’s syndrome

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

5. Spinal cord injury can be complicated by hypotension and bradycardia. These manifestations are primarily a result of:

1.	Massive vasoconstriction in response to increased sympathetic input
2.	Loss of sympathetic function and increased venous capacity
3.	Release of proteolytic enzymes that clog microcirculation
4.	Internal bleeding with associated hypovolemic shock

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Neuromuscular

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC:   Client Needs: Physiological Integrity