A 70-year-old patient is admitted after falling from his roof. He has a spinal cord injury at the C7 level. What findings during the assessment identify the presence of spinal shock?

Nurselytic

Home

ATI RN

ATI RN

ATI RN Test Bank

Neurological System Questions Questions

Question 1 of 5

A 70-year-old patient is admitted after falling from his roof. He has a spinal cord injury at the C7 level. What findings during the assessment identify the presence of spinal shock?

A. Paraplegia with a flaccid paralysis B. Tetraplegia with total sensory loss C. Total hemiplegia with sensory and motor loss D. Spastic tetraplegia with loss of pressure sensation

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Following a T2 spinal cord injury, the patient develops paralytic ileus. While this condition is present, what should the nurse anticipate that the patient will need?

A. IV fluids B. Tube feedings C. Parenteral nutrition D. Nasogastric suctioning

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A week following a spinal cord injury at T2, a patient experiences movement in his leg and tells the nurse that he is recovering some function. What is the nurse's best response to the patient?

A. It is really still too soon to know if you will have a return of function.' B. That could be a really positive finding. Can you show me the movement?' C. That's wonderful. We will start exercising your legs more frequently now.' D. I'm sorry but the movement is only a reflex and does not indicate normal function.'

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 78-year-old woman has a physiologic change related to aging in her joints. What is an appropriate nursing intervention related to common changes of aging in the musculoskeletal system?

A. Encourage rest to eliminate fatigue B. Provide all care for the patient to ensure that care is completed C. Encourage eating enough calories to avoid the risk for impaired skin integrity D. Have the patient exercise to maintain muscle strength and avoid the risk for falls

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding?

A. 2 B. 3 C. 4 D. 5

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Access More Questions!

ATI RN Basic

$89/ 30 days

ATI RN Premium

$150/ 90 days

Similar Questions