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 172 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
YES! Correct, THANKS for helping me on my review


Liamb2179

  • Member
  • Posts: 365
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

For a complete list of videos, visit our video library