Chance Fracture T9-T10

Question 1 of 10

The nurse typically begins to assess level of consciousness by using:

Light pain

Deep pain

Auditory stimulation

Tactile stimulation

Question 2 of 10

One of the nurse’s major concerns in caring for a patient with a spinal cord injury is to maintain optimal respiratory function. Which development would not lead to hypoventilation in this patient?

A cervical lesion at T1 resulting in spinal shock

An injury below C4 resulting in diaphragmatic breathing and decreased tidal volume

Paralysis of abdominal and intercostal muscles leading to ineffective cough and retention of secretions

Abdominal distension from gastric dilation, possibly restricting diaphragmatic excursion

Question 3 of 10

Which of the following is the most reliable index of a patient’s neurologic condition?

Pupillary response

Motor function

Level of consciousness

Vital signs

Question 4 of 10

A man is brought to the ED by emergency medical service after involvement in a motor vehicle accident. He is suspected of having a spinal cord injury. Spinal X-rays confirm a lesion at the C5 to C6 level. The nurse anticipates that the patient has:

Paraplegia with diaphragmatic breathing

Diaphragmatic and intercostal breathing with loss of intrinsic hand muscle power

Quadriplegia with gross arm movements and diaphragmatic breathing

Quadriplegia with intact triceps and biceps and intercostal breathing

Question 5 of 10

The nurse knows that all of the following statements about epidural and subdural hematomas are false except:

Epidural hematomas usually are caused by arterial bleeding, and subdural hematomas usually are caused by injury to a vein

Signs and symptoms of epidural bleeding develop more slowly than do those of subdural bleeding

Epidural bleeding occurs below the dura mater and above the arachnoid layer

Temporal bone fractures are associated with subdural hematomas

Question 6 of 10

Which assessment finding would indicate deterioration of this patient’s respiratory status?

Tidal volume of 500 mL

Arterial blood gas (ABG) measurements of pH 7.28, PCO2 36 mmHg, HCO3 - 18 mEq, and PO2 86 mmHg

Inspiratory force of - 20 cm

Bronchial breath sounds over the lung lobes

Question 7 of 10

An unconscious patient with pinpoint pupils is most likely to exhibit which breathing pattern?

Apneustic breathing

Biot's respirations

Cheyne-Stokes respirations

Ataxic breathing

Question 8 of 10

Which physiologic event precipitates most neurologic emergencies?

Increased intracranial pressure

Cerebrovascular accident

Head trauma

Intracerebral hemorrhage

Question 9 of 10

A 23-year-old man is brought to the ED after suddenly feeling ill while exercising with weights at a local health spa. While in the ED, he complains of a sudden, explosive headache. The nurse suspects:

Basal skull fracture

Subarachnoid hemorrhage

Brain stem contusion

Epidural hematoma

Question 10 of 10

Which symptom is least likely to be exhibited by a patient who sustains a cerebral concussion?

Dizziness

Headache

Bizarre behavior

Loss of memory

Chance Fracture T9-T10

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Chance Fracture T9-T10

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