A lumbar puncture (LP) is performed on a patient to rule out a ...

[biggirl4568]

A lumbar puncture (LP) is performed on a patient to rule out a spinal cord tumor. The cerebrospinal fluid (CSF) is xanthochromic, has increased protein and no cells, and clots immediately.
 
  What syndrome should the nurse suspect this patient is experiencing?
 
  1. Glasgow syndrome
  2. Froin syndrome
  3. cord tumor syndrome
  4. reflex syndrome

Question 2

The nurse understands that when the spinal cord is injured, ischemia and edema result. How should the nurse explain to the patient the reason that the extent of injury cannot be determined for several days to a week?
 
  1. Tissue repair does not begin for 72 hours.
  2. The edema extends the level of injury two cord segments above and below the affected level.
  3. Neurons need time to regenerate, so stating the extent of injury early is not predictive of how the patient progresses.
  4. Necrosis of gray and white matter does not occur until days after the injury.

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Answer to Question 1

Correct Answer: 2

CSF with a xanthochromic appearance, elevated protein, few to no cells, and immediate clotting is consistent with Froin syndrome. Glasgow syndrome, cord tumor syndrome, and reflex syndrome are not terms associated with the symptoms of spinal cord tumor described.

Answer to Question 2

Correct Answer: 2
Within 24 hours, necrosis of both gray and white matter begins if ischemia has been prolonged and the function of nerves passing through the injured area is lost. Because the edema extends above and below the area affected, the extent of injury cannot be determined until after the edema is controlled. Neurons do not regenerate. Tissue repair occurs over a period of 3 to 4 weeks.