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• W4206689740 abstract "INSTRUCTIONS Back to basics: Identifying and managing acute spinal cord injury TEST INSTRUCTIONS To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/nursing. On the print form, record your answers in the test answer section of the CE enrollment form on page 32. Each question has only one correct answer. You may make copies of these forms. Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade. Registration deadline is September 30, 2012. DISCOUNTS and CUSTOMER SERVICE Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail, and deduct $0.95 from the price of each test. We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details. PROVIDER ACCREDITATION Lippincott Williams & Wilkins, publisher of Nursing2010 journal, will award 2.3 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.3 contact hours. Your certificate is valid in all states. The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product. Back to basics: Identifying and managing acute spinal cord injury GENERAL PURPOSE To provide nurses with an overview of SCI. LEARNING OBJECTIVES After reading the preceding article and taking this test, you should be able to: 1. List the causes of SCI. 2.Identify neurologic deficits associated with specific SCIs. 3. Describe nursing considerations for a patient following an SCI. 1. One vertebra overlapping another with facet displacement is called a. fracture. b. compression. c. concussion. d. dislocation. 2. A spinal cord concussion a. is caused by severe shaking of the spinal cord. b. may result in a loss of function that can last for years. c. results in permanent loss of function. d. causes bruising and edema of the spinal cord. 3. Which injury distorts the normal curvature of the spine at the moment of impact? a. concussion b. compression c. contusion d. laceration 4. A spinal cord laceration is a a. severing of the spinal cord. b. bruising of the spinal cord. c. tear in the spinal cord. d. swelling of the spinal cord. 5. Which injury results in loss of respiratory control and death if not recognized immediately? a. a concussion located in the cervical spine b. a contusion located in the cervical spine c. a thoracic cord laceration between T1 and T2 d. a cervical cord transection above C4 6. A complete SCI results in a. loss of sensation below the injury except for S4 to S5 segments. b. temporary hyperesthesia below the injury site. c. loss of all spinal reflexes below the level of the injury. d. spastic paralysis below the injury site. 7. When SCI results in total loss of neurologic function with no recovery within the first 24 hours, there is a. usually no chance of regaining lost neurologic function. b. probable recovery within 48 to 72 hours as edema resolves. c. likely spontaneous recovery within a few weeks. d. possible recovery with intensive rehabilitation. 8. In spinal shock, flaccid paralysis is followed by a. permanent sensory loss. b. spasticity-hypertonicity. c. permanent motor loss. d. return of all function except autonomic function. 9. Signs of autonomic dysfunction include a. vasoconstriction. b. systemic hypertension. c. bradycardia. d. cool, moist skin. 10. Poikilothermia occurs when body temperature a. responds to ambient room temperature. b. becomes increasingly lower following the injury. c. responds to hypothalamic and sympathetic nerve control. d. reaches dangerously high levels. 11. A cervical hyperextension injury with upper extremity motor deficits and variable sensory loss is known as a. central cord syndrome. b. anterior cord syndrome. c. conus medullaris syndrome. d. cauda equina syndrome. 12. Brown-Séquard syndrome is characterized by a. severe, asymmetric radicular pain. b. ipsilateral paresis with contralateral loss of pain and temperature. c. lower extremity weakness or flaccid paralysis, sensory loss, and pain. d. weak or flaccid lower extremities with partial preservation of sensation. 13. Based on the ASIA Impairment Scale, a complete loss of motor and sensory function in sacral segments S4 and S5 is considered a(n) a. complete A. b. incomplete B. c. incomplete C. d. incomplete D. 14. Which initial treatment is the highest priority in a patient with SCI? a. prevent and treat hypotension b. provide an airway and ventilatory support c. maintain alignment of neck and spine d. assess neurologic status 15. A patient who can actively move his arms with gravity eliminated has a motor strength score of a. 0. b. 1. c. 2. d. 3. 16. Which nerve has its key sensory point in the midclavicular line at the level of the nipples? a. C3 b. T2 c. T4 d. T6 17. Common complications of SCI below T8 include all of the followingexcept a. DVT. b. pressure ulcers. c. pneumonia. d. autonomic dysreflexia. 18. Which imaging study provides the most detailed information about spinal fractures? a. MRI b. magnetic resonance angiogram c. CT scan d. standard radiographsFigure" @default.
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• W4206689740 date "2010-09-01" @default.
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• W4206689740 title "Back to basics" @default.
• W4206689740 doi "https://doi.org/10.1097/01.nurse.0000388153.71300.b1" @default.
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