Care Of The SCI Patient

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| By Milly

Milly

Community Contributor

Quizzes Created: 37 | Total Attempts: 88,230

Questions: 10 | Attempts: 354 | Updated: Mar 21, 2023

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Questions and Answers

1.

The following personal should be notified when you admit a SCI patient to your unit. Select all that apply:
- A.
  
  Wound Care Nurse
- B.
  
  Dietician
- C.
  
  SCI Coordinator
- D.
  
  Safe Patient Handling Coordinator
Correct Answer(s)
A. Wound Care Nurse
C. SCI Coordinator

Explanation
When admitting a SCI (Spinal Cord Injury) patient to your unit, it is important to notify the Wound Care Nurse and the SCI Coordinator. The Wound Care Nurse is responsible for assessing and managing any wounds or pressure ulcers that the patient may have, which is common in SCI patients. The SCI Coordinator is knowledgeable about the specific needs and care requirements of SCI patients and can provide guidance and support in managing their condition. The Dietician and Safe Patient Handling Coordinator may also be involved in the care of SCI patients, but their notification may not be as crucial as the Wound Care Nurse and SCI Coordinator.

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2.

The following should be included in the plan of care for the SCI patient, select all that apply:
- A.
  
  Bowel and Bladder schedule
- B.
  
  Assess skin a minimum of four time per day
- C.
  
  Encourage activities
- D.
  
  Encourage weight shifting practice.
Correct Answer(s)
A. Bowel and Bladder schedule
C. Encourage activities
D. Encourage weight shifting practice.

Explanation
The plan of care for a SCI (Spinal Cord Injury) patient should include a Bowel and Bladder schedule to help manage their elimination needs. Assessing the skin a minimum of four times per day is important to prevent pressure ulcers and ensure skin integrity. Encouraging activities helps promote mobility and prevent muscle atrophy. Encouraging weight shifting practice is also important to prevent pressure ulcers and maintain proper circulation.

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3.

Over the bed trapeze is permitted for the SCI patient.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The statement is false because the overbed trapeze is not permitted for SCI (Spinal Cord Injury) patients. An overbed trapeze is a device that is used to assist patients in repositioning themselves in bed, but it is not suitable for SCI patients as it may put strain on their spine or cause further injury. Therefore, the correct answer is false.

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4.

SCI patients with an injury at __________ or higher are at risk for Autonomic Dsyreflexia (AD).
- A.
  
  T4
- B.
  
  T5
- C.
  
  T6
- D.
  
  T7
Correct Answer
C. T6

Explanation
Patients with a spinal cord injury at T6 or higher are at risk for Autonomic Dysreflexia (AD). Autonomic Dysreflexia is a potentially life-threatening condition that occurs when there is an abnormal response of the autonomic nervous system to a stimulus below the level of the spinal cord injury. Symptoms of AD include severe hypertension, pounding headache, profuse sweating, flushing, and nasal congestion. The injury at T6 or higher disrupts the normal communication between the brain and the body, leading to an exaggerated response of the autonomic nervous system.

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5.

Some causes of AD are (select all that apply):
- A.
  
  Rectal exam
- B.
  
  UTI
- C.
  
  Impaction
- D.
  
  Full bladder
Correct Answer(s)
A. Rectal exam
B. UTI
C. Impaction
D. Full bladder

Explanation
The given answer is correct because all of the listed causes can contribute to the development of AD (Autonomic Dysreflexia). A rectal exam can stimulate the autonomic nervous system, leading to AD. A urinary tract infection (UTI) can cause bladder irritation, triggering AD. Impaction, which refers to a blockage in the rectum, can also lead to AD. Lastly, a full bladder can cause bladder distention, resulting in AD. Therefore, all of these factors can potentially cause AD.

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6.

Signs and symptoms of AD are (select all that apply):
- A.
  
  Severe headache
- B.
  
  Flushed face
- C.
  
  Sweating
- D.
  
  Distended neck veins
Correct Answer(s)
A. Severe headache
B. Flushed face
C. Sweating
D. Distended neck veins

Explanation
The signs and symptoms of AD include severe headache, flushed face, sweating, and distended neck veins. Severe headache can be a result of increased blood pressure in the arteries. A flushed face is caused by dilated blood vessels. Sweating is a common symptom due to the body's response to stress. Distended neck veins occur when there is increased pressure in the veins. These symptoms collectively indicate the presence of AD.

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7.

A "Dr. Heart" should be called when patients are showing signs and symptoms of AD.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
A "RAPID Response" should be called.

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8.

AD causes an abrupt onset of_________________.
- A.
  
  Bradycardia
- B.
  
  Tachycardia
- C.
  
  Hypertension
- D.
  
  Hyperglycemia
Correct Answer
C. Hypertension

Explanation
AD (Adrenaline Deficiency) causes an abrupt onset of hypertension. This means that when there is a lack of adrenaline in the body, it can lead to a sudden increase in blood pressure. Adrenaline, also known as epinephrine, is a hormone that plays a crucial role in regulating blood pressure. When there is a deficiency of adrenaline, the body is unable to properly control blood pressure, resulting in a sudden rise in hypertension.

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9.

AD is considered a medical emergency.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
AD stands for acute appendicitis, which is the inflammation of the appendix. It is considered a medical emergency because if left untreated, the appendix can rupture, leading to severe complications such as infection, abscess formation, and even death. Prompt surgical intervention is necessary to remove the inflamed appendix and prevent further complications. Therefore, the statement that AD is considered a medical emergency is true.

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10.

Nitro Paste 2% is the medication of choice for AD patients whose systole blood pressure is greater or equal to ______________.
- A.
  
  180
- B.
  
  190
- C.
  
  200
- D.
  
  210
Correct Answer
A. 180

Explanation
Nitro Paste 2% is the medication of choice for AD patients whose systolic blood pressure is equal to or greater than 180. This suggests that Nitro Paste 2% is specifically indicated for patients with high systolic blood pressure, and it may be ineffective or unnecessary for patients with lower blood pressure readings.

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Current Version
Mar 21, 2023

Quiz Edited by
ProProfs Editorial Team
Jan 14, 2016

Quiz Created by
Milly

care Of The Sci Patient

The following personal should be notified when you admit a SCI patient to your unit. Select all that apply:

The following should be included in the plan of care for the SCI patient, select all that apply:

Over the bed trapeze is permitted for the SCI patient.

SCI patients with an injury at __________ or higher are at risk for Autonomic Dsyreflexia (AD).

Some causes of AD are (select all that apply):

Signs and symptoms of AD are (select all that apply):

A "Dr. Heart" should be called when patients are showing signs and symptoms of AD.

AD causes an abrupt onset of_________________.

AD is considered a medical emergency.

Nitro Paste 2% is the medication of choice for AD patients whose systole blood pressure is greater or equal to ______________.