The medical reports of a client who suffered an accident show injuries at the sixth thoracic vertebra, lack of normal sympathetic outflow, bradycardia and low blood pressure. Which condition does the nurse suspect in the client?
Conus medullaris syndrome
Concussion
Neurogenic shock
Diffuse axonal injury
The Correct Answer is C
Choice A rationale: Conus medullaris syndrome involves injury or compression to the end portion of the spinal cord and can present with various symptoms but not necessarily lack of normal sympathetic outflow leading to shock.
Choice B rationale: Concussion is a mild traumatic brain injury, and the symptoms described align more with spinal cord injury leading to neurogenic shock.
Choice C rationale: Neurogenic shock occurs due to the loss of sympathetic tone and is characterized by bradycardia, low blood pressure, and vasodilation following spinal cord injury at or above the level of the sixth thoracic vertebra.
Choice D rationale: Diffuse axonal injury typically presents with more widespread brain injury-related symptoms and is not associated with the specific spinal cord-related symptoms described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: While it can be used for muscle spasms associated with musculoskeletal conditions, it's not primarily used as a first-line treatment for osteoarthritis pain and inflammation.
Choice B rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to relieve pain and inflammation associated with osteoarthritis.
Choice C rationale: It's a medication used for chronic pain conditions, including OA- related pain.
Choice D rationale: Often used for mild to moderate OA pain relief, it's a common medication for OA management.
Correct Answer is B
Explanation
Choice A rationale: These side effects are not related to spironolactone use.
Choice B rationale: These are common side effects of spironolactone, as it causes potassium retention and sodium loss.
Choice C rationale: These side effects are not related to spironolactone use.
Choice D rationale: These side effects are not related to spironolactone use.
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