SOLVED

Chapter 19 Question 1 A patient is admitted for a lumbar laminectomy. The nurse reinforces teaching that which portion of the vertebra will be removed? 1. Roof of the arch 2. Cartilage inside the vertebra 3. Pedicles that attach the arch to the body 4. Spinous process Question 2 A patient is diagnosed with a fracture of anterior and posterior columns of three cervical vertebrae. How would the nurse describe this injury? 1. As life threatening 2. As stable 3. As minor 4. As unstable Question 3 A patient is diagnosed with damage to the spinothalamic tract of the spinal cord. Which assessment finding would the nurse attribute to this damage? 1. The patient reports an unusual amount of pain. 2. Muscle spasms are occurring in the patient’s right leg. 3. The patient has ataxia. 4. The patient is complaining of vertigo. Question 4 The nurse is caring for a patient with a fractured sacrum. The nurse would assess for which changes as a result of this fracture? 1. Altered sympathetic responses 2. Alteration in pain responses 3. Alteration in position sense 4. Altered parasympathetic responses Question 5 A patient is diagnosed with central cord syndrome. Which assessment finding would the nurse anticipate from this injury? 1. Complete paralysis of lower extremities 2. Loss of bladder and bowel function 3. Motor function intact in upper extremities 4. Variable motor function in lower extremities Question 6 A patient comes into the emergency department after being injured in an automobile crash in which a semi-truck hit her car from behind. The nurse will assess this patient for findings associated with which type of injury? 1. Ankylosing spondylitis 2. Axial loading 3. Hyperflexion 4. Hyperextension Question 7 A patient was admitted this morning after sustaining an acute spinal cord injury. This afternoon his neurological assessment shows some deterioration of function. How would the nurse explain this to the patient’s family? 1. “Injured cells release potassium that causes destruction of the covering of nerves in the area injured.” 2. “Decreased blood flow increases the size of the affected area.” 3. “The body’s inflammatory response has caused blood vessels in the area to dilate.” 4. “Injury to nerves impairs the body’s healing responses.” Question 8 A patient suffered an acute T6 spinal cord injury. Family has been told that the patient will likely be paraplegic. However, this morning the patient has limited use of his arms. How should the nurse explain this change? 1. “There must be a second area of fracture higher in the spine.” 2. “The spinal cord is probably swollen above the area of original injury.” 3. “These changes are due to the low blood pressure he had before he got to the hospital.” 4. “This is a sign that he is dehydrated and will go away as we give him more IV fluids.” Question 9 A patient is admitted with a fractured mandible and several fractured ribs. Which priority intervention would the nurse anticipate? 1. Providing pain medication 2. Determining lung function by chest x-ray 3. Maintaining spinal cord injury precautions 4. Stabilizing the rib fractures Question 10 It is suspected that a patient admitted with spinal cord injury has severe cord injury. The nurse would prepare the patient for which diagnostic test to determine the extent of this edema? 1. Angiography 2. Somatosensory-evoked potentials 3. CT scan 4. MRI