#1
Which of the following is a common cause of spinal cord injury (SCI)?
Car accidents
ExplanationHigh-impact collisions often lead to spinal cord injury.
#2
What is the initial priority in managing a patient with a suspected spinal cord injury?
Ensuring airway, breathing, and circulation (ABC)
ExplanationABC takes precedence to stabilize the patient.
#3
Which nursing intervention is essential in preventing pressure ulcers in a patient with a spinal cord injury?
Frequent repositioning
ExplanationRepositioning reduces pressure on vulnerable areas, preventing ulcers.
#4
Which medication is commonly administered to reduce spinal cord swelling and inflammation?
Corticosteroids
ExplanationCorticosteroids help alleviate swelling and inflammation.
#5
Which of the following is a common symptom of neurogenic shock in a patient with a spinal cord injury?
Hypotension
ExplanationNeurogenic shock often results in low blood pressure.
#6
What is a priority nursing intervention for a patient with a spinal cord injury experiencing autonomic dysreflexia?
Loosening constrictive clothing
ExplanationTo address increased blood pressure, tight clothing should be loosened.
#7
Which neurological assessment finding is indicative of spinal shock?
Loss of reflexes
ExplanationSpinal shock often results in reflex loss.
#8
Which intervention is appropriate for a patient with autonomic dysreflexia?
Loosening tight clothing
ExplanationTo alleviate increased blood pressure, tight clothing should be loosened.
#9
What is a common respiratory complication associated with cervical spinal cord injury?
Hypoventilation
ExplanationCervical injury often leads to compromised respiratory function.
#10
Which nursing action is appropriate when caring for a patient with a halo traction device?
Checking pins for looseness and cleanliness
ExplanationRegular checks ensure the stability and cleanliness of halo pins.
#11
Which complication of spinal cord injury can lead to symptoms such as bladder distention, urinary retention, and overflow incontinence?
Neurogenic bladder
ExplanationSpinal cord injury often disrupts bladder function.
#12
What is a common psychological issue experienced by individuals with spinal cord injury?
Depression
ExplanationSCI patients frequently experience depression due to lifestyle changes.
#13
What is a common complication associated with long-term immobilization following spinal cord injury?
Increased risk of deep vein thrombosis (DVT)
ExplanationImmobilization heightens DVT risk due to reduced blood flow.
#14
What is the primary goal of rehabilitation for a patient with a spinal cord injury?
Returning the patient to pre-injury level of function
ExplanationRehabilitation aims to restore the patient's previous level of function.
#15
Which type of rehabilitation therapy focuses on restoring or improving physical function in patients with spinal cord injury?
Physical therapy
ExplanationPhysical therapy aims to enhance physical abilities post-injury.
#16
Which intervention is essential to prevent venous thromboembolism in a patient with spinal cord injury?
Encouraging early ambulation
ExplanationEarly mobilization reduces the risk of venous thromboembolism.
#17
Which of the following is a priority intervention for preventing respiratory complications in patients with cervical spinal cord injury?
Encouraging coughing and deep breathing exercises
ExplanationDeep breathing and coughing prevent respiratory complications.