CRRN Spinal Cord Injuries Exam 30 Questions with Verified Answers
An example of direct trauma resulting is SCI - CORRECT ANSWER violent forward flexion
... [Show More] of neck, compression during fall, gunshot
An example of indirect trauma resulting in SCI - CORRECT ANSWER lack of blood to cord, tumors, imfammatory process
Patient Classification of SCI - CORRECT ANSWER Rehab nurse should follow the American Spinal Injury Association's Impairment Scale
The essence of the American Spinal Injury Association's Impairment Scale - CORRECT ANSWER NLI - neurological level of impairment + ZPP -zones of partial preservation
A score of 0 from a pinprick test means - CORRECT ANSWER incapable of distinguishing sharp from dull
SCI at C2 -C8 and T1 would result in - CORRECT ANSWER tetraplegia
SCI at T2-T12, L1-L5, S1-S5 would result in - CORRECT ANSWER lower extremity paralysis
Cental Cord injury patients may exhibit - CORRECT ANSWER upper extremity weaker than lower limbs, may have bowel/bladder problems
Anterior Cord Syndrome patients may exhibit - CORRECT ANSWER senstivity to pain and temperature and motor function is lost
Brown -Sequard Syndrome patients may exhibit - CORRECT ANSWER loss of motor function and inability to feel deep pain on injured side, loss of sensitivity to light touch, pain, temperature on other side.
Cauda Equina Syndrome is caused by - CORRECT ANSWER damage to sacral and lumbar nerve roots
A patient who has involuntary bowel/bladder and lower limb motion may have which type of SC syndrome? - CORRECT ANSWER Conus Medullaris or Cauda Equina Syndrome
The 2 major areas of concern for SCI patient are - CORRECT ANSWER Spasticity and Skin integrity
Name 3 interventions to prevent loss of skin integrity in SCI patients - CORRECT ANSWER specialized sleeping surfaces, frequent positioning, weight shifting changes
What is the first intervention for dealing with spasticity in SCI patients? - CORRECT ANSWER Identify what stimulates the spasticity.
Respiratory capacity is affected by muscles stimulated by spinal cord nerves at what spinal levels? - CORRECT ANSWER C2 down to T12
Mechanical ventilation is usually necessary at what damaged level? - CORRECT ANSWER C4 or above
Spinal Shock is a result of the shutdown of - CORRECT ANSWER sympathetic nervous system
A patient with spinal cord shock may exhibit the following - CORRECT ANSWER changes in thermoregulation, orthostasis, cardiac arrhythmias, thrombophlebitis, autonomic dysreflexia
Symptoms of autonomic dysreflexia include - CORRECT ANSWER abrupt increase in blood pressure, sweating above level of injury, decreased heart rate, flushed face
The goal for urinary elimination in SCI patient is - CORRECT ANSWER establishment of a containment system which is usually indwelling, self intermittent, or external catheter.
The main goal for bowel elimination for SCI patients is - CORRECT ANSWER establishment and maintenance of a clean bowel
SCI patients with upper motor neuron damage manage bowel program with - CORRECT ANSWER suppositories or other stimulants, hydration and dietary changes
SCI patients with lower motor neuron damage manage bowel program with - CORRECT ANSWER Medications for motility and hydration and dietary changes
SCI patients with lower motor neuron damage will develop - CORRECT ANSWER limp rectal sphincter
To assist in relief of neurogenic pain post SCI the nurse should stress - CORRECT ANSWER proper posture and alignment to decrease muscle spasms and pain
What is a nursing intervention to help decrease the development of heterotropic ossification? - CORRECT ANSWER ROM exercises
At what spinal level will a SCI patient be ventilator dependent? - CORRECT ANSWER C1-C3
At what spinal level will a SCI patient have some shoulder movement and diaphragm movement - CORRECT ANSWER C4
At what spinal level will a SCI patient have full control over upper extremities, good balance and can function with manual wheelchair - CORRECT ANSWER T1 through T5 [Show Less]