The nurse is caring for a patient immediately after a spinal cord injury between T7-T8 vertebrae. The patient displays the following symptoms: absent reflexes, flaccidity, loss of sensation below the level of injury, bradycardia, and hypotension. These are signs of which condition?

Neurogenic shock

Brain herniation

Spinal shock

Autonomic dysreflexia

Answer and Explanation

The Correct Answer is A

A. Neurogenic shock occurs in spinal cord injuries above T6 and is characterized by hypotension, bradycardia, and loss of sympathetic tone below the level of injury. This condition results from disruption of autonomic pathways.

B. Brain herniation typically involves increased intracranial pressure and different neurological symptoms.

C. Spinal shock involves temporary loss of reflexes and sensation but does not specifically cause bradycardia or hypotension.

D. Autonomic dysreflexia involves sudden high blood pressure and is usually triggered by noxious stimuli, occurring after the acute phase of SCI.

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Correct Answer is D

Explanation

A. Posterior cord injury usually affects proprioception rather than causing a distinctive pattern of motor and sensory loss.

B. Anterior cord injury generally impacts motor function and temperature and pain sensation bilaterally, not in a hemisection pattern.

C. Central cord injury primarily affects motor function in the upper extremities and is not characterized by ipsilateral motor and contralateral sensory loss.

D. Brown-Sequard syndrome typically presents with motor function loss on the same (ipsilateral) side of the injury and loss of pain and temperature sensation on the opposite (contralateral) side, making this the most likely diagnosis.

A. Antibiotics B. Beta blockers C. Diuretics D. Antidepressants

Correct Answer is C

Explanation

A. Antibiotics are not typically used unless there is a specific infection; Meniere's is not caused by an infection.

B. Beta blockers are used for various cardiovascular conditions and may help with some vestibular disorders, but they are not the first-line treatment for Meniere's Disease.

C. Diuretics are commonly prescribed for Meniere's Disease to help reduce fluid retention and decrease endolymphatic pressure in the inner ear, which can help alleviate symptoms such as vertigo and hearing loss.

D. Antidepressants are not a primary treatment for Meniere's Disease, although they might be prescribed for anxiety or depression that may accompany the chronic nature of the disease.

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The nurse is caring for a patient immediately after a spinal cord injury between T7-T8 vertebrae. The patient displays the following symptoms: absent reflexes, flaccidity, loss of sensation below the level of injury, bradycardia, and hypotension. These are signs of which condition?

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Correct Answer is D

Explanation

The nurse anticipates which of the following as a prescription for patient diagnosed with Meniere's Disease?

Correct Answer is C

Explanation

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