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NRSG 421 Respiratory Review Exam Questions And Correct Answers $9.99   Add to cart

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NRSG 421 Respiratory Review Exam Questions And Correct Answers

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NRSG 421 Respiratory Review Exam Questions And Correct Answers...

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  • October 10, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • nrsg 421
  • nrsg 421 respiratory
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NRSG 421 Final Exam Questions And Correct Answers



Spine components - ANS 7 cervical

12 thoracic

5 lumbar

5 sacral

4 coccygeal



Spinal cord injury risks - ANS Ages, 16/18, male, high risk activity, driving and drinking,
car accidents

*C4,C5,C6,T12=most common



Spinal injury - ANS Damage to the spinal cord, resulting in functional loss and
mobility/sensation



Results from = concussion, contusion, compression, tearing, laceration, transection,
ischemia



Spinal cord - ANSWER 18 inches, nerves within cord carry messages from brain> Spinal
nerves> Upper motor neuron> And back



spinal nerve - ANSWER Lower motor neuron, branch from the spinal cord to specific
areas of body



Sensory: body to brain



Motor: back to body part to initiate action

,Classification of SCI - ANSWER 1. mechanism of injury

2. level of injury

3. degree of injury



Mechanism of injury - ANSWER Flexion: ruptures posterior ligaments



Hyper extension: ruptures anterior ligaments



Compression fracture: crushed vertebrae, spinal cord compression



Flexion - rotation: tearing of ligament structures that stabilizes spine *most severe



level of injury of SCI - ANSWER cervical (7) thoracic (12) lumbar (5) sacral



* cervical/lumbar most common due to greatest flexibility/movement

degree of injury - ANSWER Complete: total loss of sensory and motor function below
level of injury



Incomplete/partial: mix, loss of voluntary motor activity and sensation, some tracts
intact



SCI diagnostic studies-ANSWER CT scan, cervical x-rays (C7 and T1 hard to see), MRI
(soft tissue) neurologic exam, CT angiogram



SCI immediate goals -ANSWER -Patent airway

-Adequate ventilation/breathing

-Adequate circulating blood volume

-immobilize spine

, -Medical sedation/restraints

-keep MAP >85



SCI NRSG Interventions -ANSWER Respiratory: determine how well they breathe,
oxygen/suction, abdominal pressure, when coughing, incentive spirometer, monitor
breath sounds

*Quad coughing



Skin care, VTE, prophylaxis, bladder/bowel management, temp control, stress, ulcers,
fear/anxiety, impaired mobility



*log rolling



Neurogenic Shock - ANSWER Hemodynamic phenomenon, within 30 minutes of injury at
T5 or above, last up to 6 weeks, blood flow to low, lose SNS



-Trouble keeping heart rate, BP, temp stable



Results in: massive vasodilation> Pooling of blood vessels> Tissue hypoperfusion>
Impaired cellular metabolism



Poikilothermic - ANSWER inability to regulate core body temperature is sweating/adding
layers



tx: fluids (careful of overload), vasopressors( bradycardia, hypotension) dopamine,
epi/no epi, atropine



Spinal shock - ANSWER Spinal cords response to inflammation caused by injury

*Not hemodynamic

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