Author Question: A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. ... (Read 114 times)

craiczarry

  • Hero Member
  • *****
  • Posts: 527
A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action will the nurse include in the plan of care?
 
  a. Teach the patient the Cred method.
  b. Instruct the patient how to self-catheterize.
  c. Catheterize for residual urine after voiding.
  d. Assist the patient to the toilet every 2 hours.

Question 2

The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit. Which assessment finding(s) indicate(s) neurogenic shock?
 
  a. Hyperactive reflex activity below the level of injury
  b. Involuntary, spastic movements of the arms and legs
  c. Hypotension, bradycardia, and warm, pink extremities
  d. Lack of sensation or movement below the level of injury



yasmin

  • Sr. Member
  • ****
  • Posts: 319
Answer to Question 1

ANS: B
Because the patient's bladder is spastic and will empty in response to overstretching of the bladder wall, the most appropriate method is to avoid incontinence by emptying the bladder at regular intervals through intermittent catheterization. Assisting the patient to the toilet will not be helpful because the bladder will not empty. The Cred method is more appropriate for a bladder that is flaccid, such as occurs with areflexic neurogenic bladder. Catheterization after voiding will not resolve the patient's incontinence.

Answer to Question 2

ANS: C
Neurogenic shock is characterized by hypotension, bradycardia, and vasodilation leading to warm skin temperature. Spasticity and hyperactive reflexes do not occur at this stage of spinal cord injury. Lack of movement and sensation indicate spinal cord injury, but not neurogenic shock.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

For a complete list of videos, visit our video library