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

Author Question: A patient is admitted with injuries sustained in a fall. During the nurse's first assessment upon ... (Read 153 times)

fagboi

  • Hero Member
  • *****
  • Posts: 535
A patient is admitted with injuries sustained in a fall. During the nurse's first assessment upon admission, the findings are: blood pressure 90/60 (as compared to 136/66 in the emergency department), flaccid paralysis on the right,
 
  absent bowel sounds, zero urine output, and palpation of a distended bladder. The nurse realizes that these findings are consistent with which condition?
 
  1. paralysis
  2. spinal shock
  3. high cervical injury
  4. temporary hypovolemia

Question 2

A patient with a spinal cord injury (SCI) has complete paralysis of both upper and lower extremities. Which term should the nurse use when documenting this patient's status?
 
  1. hemiplegia
  2. paresthesia
  3. paraplegia
  4. quadriplegia



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

hramirez205

  • Sr. Member
  • ****
  • Posts: 345
Answer to Question 1

Correct Answer: 2

Spinal shock is the response of the cord itself to injury. It involves temporary loss of reflex function (areflexia) below the level of injury at the cervical and upper thoracic spinal cord. As a result of the injury, sympathetic function is interrupted and parasympathetic function is unopposed. This condition is characterized by flaccid paralysis, loss of skin reflexes and deep tendon reflexes, and loss of all sensations below the level of injury. There is loss of urinary bladder tone. The autonomic dysfunction results in hypotension. Lack of respiratory effort is generally associated with high cervical injury. The findings describe paralysis that would be associated with spinal shock in a spine-injured patient. The likely cause of these findings is not hypovolemia, but rather spinal shock.

Answer to Question 2

Correct Answer: 4
Quadriplegia is the complete paralysis of the upper extremities and the lower part of the body. Hemiplegia is paralysis on one side of the body, and paraplegia is paralysis of the lower body. Paresthesia does not include paralysis.




fagboi

  • Member
  • Posts: 535
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


mcarey591

  • Member
  • Posts: 365
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Pink eye is a term that refers to conjunctivitis, which is inflammation of the thin, clear membrane (conjunctiva) over the white part of the eye (sclera). It may be triggered by a virus, bacteria, or foreign body in the eye. Antibiotic eye drops alleviate bacterial conjunctivitis, and antihistamine allergy pills or eye drops help control allergic conjunctivitis symptoms.

For a complete list of videos, visit our video library