Question 1

A nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier.What action should the nurse implement?

Accepted Answer

A)  Continue to monitor. 
B)  Inform the charge nurse. 
C)  Perform intermittent catheterizations. 
D)  Turn the patient to the right side. 
A)  Continue to monitor. 
B)  Inform the charge nurse. 
C)  Perform intermittent catheterizations. 
D)  Turn the patient to the right side.

Question 2

Which statement made by a male patient with an SCI could be assessed as a positive adaptation to sexual dysfunction?

Accepted Answer

A)  "I know I will never have a sexual relationship again." 
B)  "I need some suggestions as to how to direct my sexual energy into gardening or painting.or just anything." 
C)  "Can you arrange an appointment with a sex counselor so I can begin to examine alternative methods of sexual activity?" 
D)  "I think that after a while I will be able to have sexual relationships just like I had before my accident." 
A)  "I know I will never have a sexual relationship again." 
B)  "I need some suggestions as to how to direct my sexual energy into gardening or painting.or just anything." 
C)  "Can you arrange an appointment with a sex counselor so I can begin to examine alternative methods of sexual activity?" 
D)  "I think that after a while I will be able to have sexual relationships just like I had before my accident."

Question 3

A nurse explains that the spinal cord extends from the brainstem to the level of which vertebra?

Accepted Answer

A)  Last thoracic 
B)  Second lumbar 
C)  First sacral 
D)  Coccygeal 
A)  Last thoracic 
B)  Second lumbar 
C)  First sacral 
D)  Coccygeal

Question 4

The family members of a patient with an SCI, who is in the rehabilitation phase, want to take the patient outdoors for a visit.It is 90$\degree$ F outside and very humid.What should the nurse suggest?

Accepted Answer

A)  Do not go outside at all but remain in the hospital. 
B)  Take a spray bottle to spray water to cool the patient by evaporation. 
C)  Take a light sweater to insulate the patient. 
D)  Have the patient drink at least 32 oz of water during the outing. 
A)  Do not go outside at all but remain in the hospital. 
B)  Take a spray bottle to spray water to cool the patient by evaporation. 
C)  Take a light sweater to insulate the patient. 
D)  Have the patient drink at least 32 oz of water during the outing.

Question 5

Which level of independence is an appropriate nursing care plan goal for a patient with a C8 transection?

Accepted Answer

A)  Manage a mechanical wheelchair with a joystick. 
B)  Manage a mechanical wheelchair with hand control. 
C)  Manage a specially equipped wheelchair. 
D)  Manage an ordinary wheelchair. 
A)  Manage a mechanical wheelchair with a joystick. 
B)  Manage a mechanical wheelchair with hand control. 
C)  Manage a specially equipped wheelchair. 
D)  Manage an ordinary wheelchair.

Question 6

A distressed family member asks about the purpose of the Gardner-Wells tongs.Which is the most helpful explanation by the nurse regarding the action of Gardner-Wells tongs?

Accepted Answer

A)  Compress the cervical vertebrae. 
B)  Immobilize the head. 
C)  Allow the patient to be moved out of bed. 
D)  Align the cervical vertebrae. 
A)  Compress the cervical vertebrae. 
B)  Immobilize the head. 
C)  Allow the patient to be moved out of bed. 
D)  Align the cervical vertebrae.

Question 7

A home health nurse encourages the family of a patient with an SCI to use the assisted cough technique.What does this technique require the caregiver to do?

Accepted Answer

A)  Assist the patient to inhale a bronchodilator spray and then cough. 
B)  Forcefully press on patient's back below the rib cage while the patient is in the prone position. 
C)  Assist the patient to lean forward, breathe deep, and then cough. 
D)  Apply pressure to diaphragm as the patient coughs. 
E)  Slap the patient on upper back while the patient is in the prone position. 
A)  Assist the patient to inhale a bronchodilator spray and then cough. 
B)  Forcefully press on patient's back below the rib cage while the patient is in the prone position. 
C)  Assist the patient to lean forward, breathe deep, and then cough. 
D)  Apply pressure to diaphragm as the patient coughs. 
E)  Slap the patient on upper back while the patient is in the prone position.

Exam 24: Spinal Cord Injury

A nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier.What action should the nurse implement?

Which statement made by a male patient with an SCI could be assessed as a positive adaptation to sexual dysfunction?

A nurse explains that the spinal cord extends from the brainstem to the level of which vertebra?

The family members of a patient with an SCI, who is in the rehabilitation phase, want to take the patient outdoors for a visit.It is 90 °\degree° F outside and very humid.What should the nurse suggest?

Which level of independence is an appropriate nursing care plan goal for a patient with a C8 transection?

A distressed family member asks about the purpose of the Gardner-Wells tongs.Which is the most helpful explanation by the nurse regarding the action of Gardner-Wells tongs?

A home health nurse encourages the family of a patient with an SCI to use the assisted cough technique.What does this technique require the caregiver to do?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

Filters

The family members of a patient with an SCI, who is in the rehabilitation phase, want to take the patient outdoors for a visit.It is 90 $\degree$ F outside and very humid.What should the nurse suggest?