Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 37- Spinal Cord Injury
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A teenaged boy jumped from a two-story building and landed on his feet, injuring his spine, and is now in the ICU. The nurse recognizes his injury as which of the following? | |
| A) | Rotational injury | |
| B) | Axial loading | |
| C) | Hyperflexion | |
| D) | Hyperextension | |
| 2. | The nurse is assessing a patient with a spinal cord injury in the ICU. The patient is completely paralyzed from the waist down but has sensation in his shoulders, chest, arms, and hands. He has no control of his bowel or bladder. Which of the following are possible sites for this patient’s injury, given his loss of function? Select all that apply. | |
| A) | C4 | |
| B) | C7 | |
| C) | T3 | |
| D) | T7 | |
| E) | T12 | |
| F) | L4 | |
| 3. | A patient presents to the ICU with a spinal cord injury at C3 and the following: loss of position sense, light touch, and vibratory sense below the level of the injury. However, the patient has retained all motor function and pain and temperature sensation. The nurse suspects that the injury has occurred on what portion of the spinal cord? | |
| A) | Central | |
| B) | Lateral | |
| C) | Anterior | |
| D) | Posterior | |
| 4. | A patient involved in a snowmobile accident struck a tree and sustained a fractured vertebra at C4. She demonstrates signs of ischemic areas near the injury, along with hypoperfusion, microscopic hemorrhage, and edema. The nurse observes signs of concussion, including loss of consciousness. Which of the following are considered secondary injuries? Select all that apply. | |
| A) | Fractured vertebra | |
| B) | Cord ischemia | |
| C) | Hypoperfusion | |
| D) | Microscopic hemorrhage | |
| E) | Edema | |
| F) | Concussion | |
| 5. | A patient with a mild spinal cord injury becomes light-headed every time she attempts to rise from her bed. At rest, her heart rate and blood pressure are normal. All of her motor, sensory, reflex, and autonomic functions are intact. The nurse recognizes which condition in this patient? | |
| A) | Spinal shock | |
| B) | Neurogenic shock | |
| C) | Orthostatic hypotension | |
| D) | Central cord syndrome | |
Answer Key
| 1. | A |
| 2. | B, E |
| 3. | C |
| 4. | A, C, D, E |
| 5. | B |
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