This topic contains a solution. Click here to go to the answer

Author Question: A patient diagnosed with a spinal cord injury experienced spinal shock lasting 15 days. The pa-tient ... (Read 87 times)

fahad

  • Hero Member
  • *****
  • Posts: 570
A patient diagnosed with a spinal cord injury experienced spinal shock lasting 15 days. The pa-tient is now experiencing an uncompensated cardiovascular response to sympathetic stimulation. What does the nurse suspect caused this condition?
 
  a. Toxic accumulation of free radicals below the level of the injury
  b. Pain stimulation above the level of the spinal cord lesion
  c. A distended bladder or rectum
  d. An abnormal vagal response

Question 2

Six weeks ago a patient suffered a T6 spinal cord injury. What complication does the nurse sus-pect when the patient develops a blood pressure of 200/120, a severe headache, blurred vision, and bradycardia?
 
  a. Extreme spinal shock
  b. Acute anxiety
  c. Autonomic hyperreflexia
  d. Parasympathetic areflexia



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jliusyl

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

ANS: C
The described symptoms indicate autonomic hyperreflexia and are due to a distended bladder or rectum. The described symptoms are not due to the accumulation of free radicals, pain stimula-tion, or an abnormal vagal response.

Answer to Question 2

ANS: C
The patient is experiencing autonomic hyperreflexia, which is manifested by paroxysmal hyper-tension (up to 300 mm Hg, systolic), a pounding headache, blurred vision, sweating above the level of the lesion with flushing of the skin, nasal congestion, nausea, piloerection caused by pi-lomotor spasm, and bradycardia (30-40 beats/min). The patient in extreme spinal shock experi-ences paralysis and flaccidity in muscles, absence of sensation, loss of bladder and rectal control, transient drop in blood pressure, and poor venous circulation. The patient may experience acute anxiety, but the symptoms of elevated blood pressure with severe headache are due to autonomic hyperreflexia.
It is autonomic hyperreflexia, not parasympathetic areflexia, that produces paroxysmal hyperten-sion (up to 300 mm Hg, systolic), a pounding headache, blurred vision, sweating above the level of the lesion with flushing of the skin, nasal congestion, nausea, piloerection caused by pilomotor spasm, and bradycardia (30-40 beats/min).




fahad

  • Member
  • Posts: 570
Reply 2 on: Jun 25, 2018
Wow, this really help


sailorcrescent

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

For a complete list of videos, visit our video library