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40 Cards in this Set

  • Front
  • Back
what cervical vertebrae is most affected
c5-6
herniated disks most often occur between the
L4-5
A herniated nucleus pulposus in the lumbosacral area can cause what kind of pain and where
severe burning, stabbing, pain down the lef or foot.
HNP may press on the spinal cord itself, causing what?
leg weakness, and bowel and bladder dysfunction.
pain from HNP may be aggravated by doing what
sneezing, coughing or straining.
what cervical vertebrae is most affected
c5-6
herniated disks most often occur between the
L4-5
A herniated nucleus pulposus in the lumbosacral area can cause what kind of pain and where
severe burning, stabbing, pain down the lef or foot.
HNP may press on the spinal cord itself, causing what?
leg weakness, and bowel and bladder dysfunction.
pain from HNP may be aggravated by doing what
sneezing, coughing or straining.
what are some causes of disk degeneration?
smoking, congenital spinal conditions and scoliosis
what can decrease the indence of low back pain?
good posture, proper lifting, and exercise
clients with cervical injure pain radiates where>
Down one arm
clients with lumbosacral involvement, pain radiates where?
pain radiates down the posterior leg.
clients with low back pain report what kind of pain?
sharp burning postior thigh or calf pain that ma radiat to the ankle or toes, or in the middle of one buttock.
check for feeling sensations using what?
pin, or paper clip and a coton ball for comparision of light and deep touch
sever pain is reported when raising a straight leg. this is associated with what?
sciatic nerve.
The client with ____ pain may lose handgrip strength and may be unable to carry as much weight as before the injury
cervical
exercises that promote back strengthening are what?
swimming and walking
what type of exercises programs are most effective to treat lower back?
isometric
abnormal posturing indicated by rigidity, flexion of the arms, clenched fists, and extended legs. The arms are bent inward toward the body with the wrists and fingers bent and held on the chest. Presence of this type of posturing implies severe damage to the brain with immediate need for medical attention.
Decorticate
indicated by rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head. A severe injury to the brain at the level of the brainstem is the usual cause.
Decerebrate posture
an inability to void may indicate damage to what nerves after surgery
sacral spinal nerves
after surgery, a clear drainage on the dressing is what?
cerebrospinal fluid leakage
4 things the nurse instructs the client to do after back surgery
weight reduction
stop smoking
use moist heat
strengthening exercises
spinal or neurogenic shcok is characterized by the following
flaccid paralysis, loss of reflex below injury, bradycardia, hypotension, occasional ileus paralytic
autonomic sysreflexia or hyperflexia is usually seen in injuries abouve what level of the thoracic vertebra
6th
most SCI's are seen in who
20yr old white males.
first priority for an client with a SCI is what?
assessing airways
compromise of this area innervare the phrenic nerve which controls breathing
c3-c5
indications of hemorrhage include what with a sci
hypotension, tachycardia and weak and therady pulse.
quadriplegia means
quadriparesis means
paralyisis
weakness
doing touch tests, touching calf or leg is testing what area
l3, l4, l5
doing touch tests, touching the umbilicus is what level
T 10
doing touch tests, touching the clavical is what level
C3-C4
doing touch tests, testing finger sensation is at what level?
c7-c8
how does the nurst test the clients proprioceptive function
close eyes and nurses moves finger or toes up wards. client must guess up or down.
the client with spinal injuries at the fifth or sixth cevical vertebar are often albe to this but not this
can flex but not extend arm
dysreflexia is characterized by this
hypertension, bradycardia, sever headach, nasal stiffinuss, flushing
clients with injuries at or above this level are especially at risk for respiratory complications
T6