Ch43

Front 1

what cervical vertebrae is most affected

Back 1

c5-6

Front 2

herniated disks most often occur between the

Back 2

L4-5

Front 3

A herniated nucleus pulposus in the lumbosacral area can cause what kind of pain and where

Back 3

severe burning, stabbing, pain down the lef or foot.

Front 4

HNP may press on the spinal cord itself, causing what?

Back 4

leg weakness, and bowel and bladder dysfunction.

Front 5

pain from HNP may be aggravated by doing what

Back 5

sneezing, coughing or straining.

Front 6

what cervical vertebrae is most affected

Back 6

c5-6

Front 7

herniated disks most often occur between the

Back 7

L4-5

Front 8

A herniated nucleus pulposus in the lumbosacral area can cause what kind of pain and where

Back 8

severe burning, stabbing, pain down the lef or foot.

Front 9

HNP may press on the spinal cord itself, causing what?

Back 9

leg weakness, and bowel and bladder dysfunction.

Front 10

pain from HNP may be aggravated by doing what

Back 10

sneezing, coughing or straining.

Front 11

what are some causes of disk degeneration?

Back 11

smoking, congenital spinal conditions and scoliosis

Front 12

what can decrease the indence of low back pain?

Back 12

good posture, proper lifting, and exercise

Front 13

clients with cervical injure pain radiates where>

Back 13

Down one arm

Front 14

clients with lumbosacral involvement, pain radiates where?

Back 14

pain radiates down the posterior leg.

Front 15

clients with low back pain report what kind of pain?

Back 15

sharp burning postior thigh or calf pain that ma radiat to the ankle or toes, or in the middle of one buttock.

Front 16

check for feeling sensations using what?

Back 16

pin, or paper clip and a coton ball for comparision of light and deep touch

Front 17

sever pain is reported when raising a straight leg. this is associated with what?

Back 17

sciatic nerve.

Front 18

The client with ____ pain may lose handgrip strength and may be unable to carry as much weight as before the injury

Back 18

cervical

Front 19

exercises that promote back strengthening are what?

Back 19

swimming and walking

Front 20

what type of exercises programs are most effective to treat lower back?

Back 20

isometric

Front 21

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.

Back 21

Decorticate

Front 22

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.

Back 22

Decerebrate posture

Front 23

an inability to void may indicate damage to what nerves after surgery

Back 23

sacral spinal nerves

Front 24

after surgery, a clear drainage on the dressing is what?

Back 24

cerebrospinal fluid leakage

Front 25

4 things the nurse instructs the client to do after back surgery

Back 25

weight reduction
stop smoking
use moist heat
strengthening exercises

Front 26

spinal or neurogenic shcok is characterized by the following

Back 26

flaccid paralysis, loss of reflex below injury, bradycardia, hypotension, occasional ileus paralytic

Front 27

autonomic sysreflexia or hyperflexia is usually seen in injuries abouve what level of the thoracic vertebra

Back 27

6th

Front 28

most SCI's are seen in who

Back 28

20yr old white males.

Front 29

first priority for an client with a SCI is what?

Back 29

assessing airways

Front 30

compromise of this area innervare the phrenic nerve which controls breathing

Back 30

c3-c5

Front 31

indications of hemorrhage include what with a sci

Back 31

hypotension, tachycardia and weak and therady pulse.

Front 32

quadriplegia means
quadriparesis means

Back 32

paralyisis
weakness

Front 33

doing touch tests, touching calf or leg is testing what area

Back 33

l3, l4, l5

Front 34

doing touch tests, touching the umbilicus is what level

Back 34

T 10

Front 35

doing touch tests, touching the clavical is what level

Back 35

C3-C4

Front 36

doing touch tests, testing finger sensation is at what level?

Back 36

c7-c8

Front 37

how does the nurst test the clients proprioceptive function

Back 37

close eyes and nurses moves finger or toes up wards. client must guess up or down.

Front 38

the client with spinal injuries at the fifth or sixth cevical vertebar are often albe to this but not this

Back 38

can flex but not extend arm

Front 39

dysreflexia is characterized by this

Back 39

hypertension, bradycardia, sever headach, nasal stiffinuss, flushing

Front 40

clients with injuries at or above this level are especially at risk for respiratory complications

Back 40

T6