Exam 3: PNR206 / PNR 206 (Latest
2024 / 2025 Update) Medical- Surgical Nursing II | Questions and Verified Answers | 100% Correct | Grade A - Fortis
Question:
Care of patient with suspected spinal cord injury
Answer:
As soon as an injury to the spinal cord occurs, the patient must be handled with extreme care. To avoid flexion of the neck, no pillow or other kind of support is placed under the head. Do not move the patient unless life- threatening conditions require it. Cervical spinal cord injury with subluxation is usually treated with traction to immobilize the affected vertebrae and maintain alignment.
Question:
Used to treat spinal cord injury: Methylprednisolone
Answer:
Decreases inflammation by suppression of leukocyte migration to injury site; decreases capillary permeability
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Question:
There are four main objectives in the treatment and nursing care of a patient with an injury of the spinal cord what are they?
Answer:
- To save the patient's life
- To prevent further injury to the cord by careful handling of the patient
- To implement treatment to limit secondary damage to the cord
- To establish a routine of care that will improve and maintain the patient's
state of health and prevent complications, so that eventual physical, mental, and social rehabilitation is possible
Question:
How should a head injury be treated
Answer:
Anyone with a head injury is treated as if they have also suffered a spine injury until proven otherwise. The neck must be stabilized to prevent any movement. When no cervical collar is available, use a shirt, towel, coat, or other material rolled and placed around the neck as a collar to keep the neck as straight as possible, preventing it from flexing or hyperextending. If the patient must be moved to safety, they should be rolled like a log, as one straight piece, onto a flat surface, such as a board of plywood or a door removed from its hinges. Roll the patient as one piece onto their side, keeping the neck and shoulders in alignment; place the board behind them; and then carefully roll them back onto the board. This is done slowly and carefully to avoid twisting or bending the spinal column. The victim is kept still.
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Question:
Used to treat spinal cord injury: Baclofen
Answer:
Inhibits synaptic responses in CNS by decreasing GABA, thereby decreasing frequency and severity of muscle spasms
Question:
Used to treat spinal cord injury: Pregabalin
Answer:
Neuropathic pain transmission from the spinal cord is reduced by pregabalins interactions with descending noradrenergic and serotonic pathways originating from the brain stem. Same mechanism of action as Gabapentin.
Question:
Used to treat spinal cord injury: Gabapentin
Answer:
Neuropathic pain transmission from the spinal cord is reduced by pregabalins interactions with descending noradrenergic and serotonic pathways originating from the brain stem. Same mechanism of action as Pregabalin
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