Ch. 43 EAQ: Med-Surg.

Which mechanism of spinal cord injury occurs when the head turns beyond the normal range? 1 Hyperflexion 2 Hyperextension 3 Excessive rotation 4 Vertical compression

Excessive rotation

Which secondary spinal cord injury typically results from excessive bleeding? 1 Ischemia 2 Hemorrhage 3 Local edema 4 Hypovolemia

Hemorrhage

Following a spinal cord injury (SCI), what is the patient reporting increased sensory sensation experiencing? 1 Paraparesis 2 Hypoesthesia 3 Hyperesthesia 4 Quadraparesis

Hyperesthesia

Which mechanism of spinal cord injury occurs when the head is suddenly accelerated and then decelerated? 1 Hyperflexion 2 Hyperextension 3 Excessive rotation 4 Vertical compression

Hyperextension

A sudden and forceful acceleration of the head forward may cause which mechanism of spinal cord injury? 1 Hyperflexion 2 Hyperextension 3 Excessive rotation 4 Vertical compression

Hyperflexion

Following a spinal cord injury (SCI), what is the patient reporting decreased sensory sensation experiencing? 1 Paraparesis 2 Hypoesthesia 3 Hyperesthesia 4 Quadraparesis

Hypoesthesia

Which secondary spinal cord injury typically results from decreased circulating blood volume? 1 Ischemia 2 Hemorrhage 3 Local edema 4 Hypovolemia

Hypovolemia

What term describes back pain associated with narrowing of the spinal canal, nerve root canals, or intervertebral foramina? 1 Lordosis 2 Scoliosis 3 Spinal shock 4 Spinal stenosis

Spinal stenosis

What secondary spinal cord injury typically results from reduced or absent blood flow? 1 Ischemia 2 Hemorrhage 3 Local edema 4 Hypovolemia

Ischemia

Which statement about autonomic dysreflexia is accurate? 1 It occurs when a spinal cord injury is present below T6. 2 It can be caused by a distended bladder. 3 It causes orthostatic hypotension in the patient. 4 It increases the patient's heart rate.

It can be caused by a distended bladder.

Which secondary spinal cord injury typically results from swelling of soft tissues due to increased interstitial fluid? 1 Ischemia 2 Hemorrhage 3 Local edema 4 Hypovolemia

Local edema

What term describes excessive inward curvature of the spine? 1 Lordosis 2 Scoliosis 3 Spinal shock 4 Spinal stenosis

Lordosis

A halo fixator with a jacket is used to immobilize the spine of a patient following a vertebral fracture. What nursing assessment monitors for neurogenic shock? 1 Monitor for severe bradycardia every 2 to 4 hours. 2 Monitor the patient every hour for severe hypotension. 3 Assess the patient's breath sounds every 2 to 4 hours. 4 Check if a finger can be inserted between the jacket and the patient's skin.

Monitor the patient every hour for severe hypotension.

Following a spinal cord injury (SCI), what is the patient with weakness in the legs experiencing? 1 Paraparesis 2 Hypoesthesia 3 Hyperesthesia 4 Quadraparesis

Paraparesis

What assessment finding is associated with a lower thoracic spinal cord injury? 1 Paraplegia 2 Tetraplegia 3 Hemiplegia 4 Quadriplegia

Paraplegia

What is the complete but temporary loss of motor, sensory, reflex, and autonomic function following spinal cord injury? 1 Septic shock 2 Spinal shock 3 Neurogenic shock 4 Hypovolemic shock

Spinal shock

Following a spinal cord injury (SCI), what is the patient with weakness in the legs and arms experiencing? 1 Paraparesis 2 Hypoesthesia 3 Hyperesthesia 4 Quadraparesis

Quadraparesis

What term describes excessive sideways curvature of the spine? 1 Lordosis 2 Scoliosis 3 Spinal shock 4 Spinal stenosis

Scoliosis

More than a third of spinal cord injuries (SCIs) result from which cause? 1 Falls 2 Vehicle crashes 3 Gunshot wounds 4 Sport-related accidents

Vehicle crashes

What mechanism of spinal cord injury may result from diving accidents, falls on the buttocks, or a jump in which a person lands on the feet? 1 Hyperflexion 2 Hyperextension 3 Excessive rotation 4 Vertical compression

Vertical compression