STUVIA 2024/2025
Spinal Cord Problems Evolve
"With rehabilitation, I will be able to function at my highest level of wellness." - ✔✔After learning
about rehabilitation for a spinal cord tumor, which statement shows that the patient understands what
rehabilitation is and can do for him or her?
A reflex erection could be easily elicited in the patient.
The patient may have erectile dysfunction that can be treated.
Vacuum suction devices help in improving blood flow to the penis. - ✔✔A patient has a T7-level
complete spinal cord injury (SCI). He wishes to discuss the related sexual problems with the nurse.
What information and advice regarding sexual dysfunction should the nurse give the patient?
Ability to drive an electric wheelchair - ✔✔While assessing a patient's level of spinal injury, the nurse
observes that the patient has sensation and movement in the neck and the region above, and can
breathe without a ventilator. What is the potential for rehabilitation that the nurse can expect?
Administer proton pump inhibitors for prophylaxis as prescribed.
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Check stools for blood.
Motivate the patient and provide a stress-free environment. - ✔✔A patient with spinal cord injury has
begun to get stress ulcers. What nursing interventions should be performed for this patient?
Applying a rigid cervical collar and using a backboard to transport the patient. - ✔✔A person is
injured in a motor vehicle accident and is brought into the emergency department. Which action by
the nurse will limit the damage if a spinal cord injury (SCI) has occurred?
Assess thighs and calves for signs of DVT.
Administer prophylactic low-dose low-molecular-weight heparin.
Obtain venous Doppler reports before applying compression stockings. - ✔✔The nurse is caring for
a patient with paraplegia who is at a risk of developing deep vein thrombosis (DVT). What
interventions are expected to be done for this patient?
Multiple selection question
Atropine
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, STUVIA 2024/2025
Vasopressor drugs - ✔✔A patient has been admitted with T2-level spinal cord injury and has
abnormal cardiovascular signs and symptoms. Which drugs should the nurse administer to stabilize
the condition of this patient?
Bowel incontinence
Urinary incontinence - ✔✔An older adult person has fallen from a step stool and has a lower sacral
fracture. The investigation reports also show that there is injury to the conus medullaris. What are the
symptoms that the nurse should expect while assessing the patient?
Bradycardia
Hypotension
Peripheral vasodilation - ✔✔A patient with a T-4 injury develops signs of neurogenic shock. Which
assessment findings are expected with this complication?
Bradycardia - ✔✔Which clinical manifestation would the nurse interpret as a manifestation of
neurogenic shock in a patient with acute spinal cord injury?
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Brown-Séquard syndrome - ✔✔The nurse is providing care to a patient with a penetrating spinal
cord injury. The patient has ipsilateral loss of motor function and position and vibratory sense
vasomotor paralysis. Which syndrome does the nurse document in this client?
Brown-Séquard syndrome - ✔✔The nurse is providing care to a patient with a spinal cord injury as
the result of a motor vehicle accident. The nurse notes that the patient feels no pain in the leg on the
side opposite the injury. Which spinal cord syndrome does the nurse suspect based on the
assessment data?
C1-3 - ✔✔The nurse is caring for a patient admitted to the hospital after a motor vehicle accident.
The patient is unable to breathe independently and has been intubated and placed on a ventilator. On
the basis of these data, which injury does the nurse suspect?
C1-C3 - ✔✔A patient with spinal cord injury has been placed on mechanical ventilation due to failure
of the diaphragm. Which possible level of spinal cord injury should the nurse suspect in this case?
Can affect any age group - ✔✔A patient with facial paralysis comes to the walk-in clinic and is
diagnosed with Bell's palsy. What does the nurse understanding about this disorder?
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