The central nervous system (CNS) cells, where the impulses for the sympathetic nervous system (SNS) originate, are located where?
Hypothalamus and the medulla
Cranium and sacral area of the spinal cord
Thoracic and lumbar section of the spinal cord
Nerve membrane
The Correct Answer is C
A) Hypothalamus and the medulla: While the hypothalamus and medulla play critical roles in regulating autonomic functions and overall sympathetic nervous system activity, the primary origin of the sympathetic nervous system's neural impulses comes from the spinal cord, specifically in the thoracic and lumbar regions. The hypothalamus and medulla are involved in coordinating and regulating sympathetic activity rather than being the origin of the impulses themselves.
B) Cranium and sacral area of the spinal cord: The cranium and sacral regions are primarily associated with the parasympathetic nervous system, not the sympathetic nervous system. The parasympathetic nervous system's nerve fibers arise from the brainstem and the sacral region, while the sympathetic fibers originate from the thoracic and lumbar areas.
C) Thoracic and lumbar section of the spinal cord: The sympathetic nervous system originates in the thoracolumbar region of the spinal cord, which includes the thoracic and lumbar segments (T1-L2). These regions house the preganglionic neurons whose axons exit the spinal cord and synapse in sympathetic ganglia, leading to the sympathetic effects on organs and tissues. This makes the thoracic and lumbar sections the correct location for the origin of SNS impulses.
D) Nerve membrane: The nerve membrane, or the cellular membrane of individual neurons, is not the location where impulses originate. The origin of the impulses is in the central nervous system (CNS), specifically in the spinal cord for the sympathetic system, not at the level of the individual nerve membranes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) A patient with hypotension:
Patients with hypotension may have reduced blood flow to organs, which could potentially decrease the absorption and effectiveness of many medications, including opioids. As a result, the need for a higher dose is not typical. Instead, careful dosing and monitoring are required to avoid further lowering blood pressure, which could lead to more complications.
B) A patient with a concussion:
Concussions affect the brain and can lead to symptoms like dizziness, confusion, or nausea, which may alter how medications are metabolized or tolerated. However, a concussion does not typically require higher opioid doses. In fact, opioids should be used cautiously in such patients due to the risk of exacerbating neurological symptoms or respiratory depression.
C) A patient 3 days after surgery:
Patients recovering from surgery may require pain management, but the opioid dose typically adjusts based on their pain levels and recovery stage. While some patients may still need opioids for pain control, they may not require higher-than-expected doses. Over time, doses are often tapered as healing progresses, and pain lessens.
D) A patient with cancer:
Cancer patients, particularly those with advanced stages or chronic pain, may develop increased opioid tolerance. This means that over time, they may require higher doses to achieve the same level of pain relief. This phenomenon is known as "opioid tolerance," where the body becomes less responsive to the drug, necessitating dose adjustments.
Correct Answer is C
Explanation
A) GABA-ergic:
GABA-ergic neurons use gamma-aminobutyric acid (GABA) as their neurotransmitter, not acetylcholine (ACh). GABA is the main inhibitory neurotransmitter in the brain, playing a crucial role in reducing neuronal excitability.
B) Dopaminergic:
Dopaminergic neurons release dopamine as their neurotransmitter. Dopamine is involved in several critical functions, including movement, reward, and regulation of mood. Since acetylcholine is not involved in dopaminergic transmission, this is not the correct answer.
C) Cholinergic:
Cholinergic neurons use acetylcholine (ACh) as their neurotransmitter. These neurons are involved in many functions, including muscle activation (in the somatic nervous system), as well as modulating parasympathetic responses in the autonomic nervous system.
D) Serotonergic:
Serotonergic neurons release serotonin (5-HT), which is a neurotransmitter involved in regulating mood, appetite, sleep, and other functions. Acetylcholine is not involved in serotonergic transmission
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