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 C

Explanation

A. The occipital lobe primarily processes visual information and is less involved in object identification errors.

B. The frontal lobe governs behavior, personality, and decision-making rather than object identification.

C. The parietal lobe is involved in processing sensory information and object recognition. Misidentifying objects can indicate damage to this area of the brain.

D. The temporal lobe is associated with auditory processing and memory, not typically object recognition errors.

A. an anxiety disorder. B. related to hunger. C. an aura. D. a postictal sign.

Correct Answer is C

Explanation

A. While anxiety can cause gastrointestinal symptoms, the context of this patient’s experience with seizures indicates that it is specifically related to the seizure disorder rather than an independent anxiety issue.

B. The sensation of "butterflies" is not typically related to hunger, as hunger is more commonly associated with physical feelings of emptiness or pain rather than a specific butterfly sensation.

C. An aura is a perceptual disturbance experienced by some patients with seizure disorders that precedes a seizure. It can manifest as various sensations, including gastrointestinal feelings like "butterflies," which serve as a warning sign that a seizure is imminent.

D. A postictal sign refers to the state of confusion or altered consciousness following a seizure, rather than sensations experienced prior to the seizure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse in the rehabilitation unit is caring for a patient with a chronic head injury. During the assessment, the nurse holds up a pen and asks the patient to identify the object. The patient replies, "It's a key." When considering the patient's response, which part of the brain is involved? The:

Correct Answer is C

Explanation

A patient diagnosed with a seizure disorder tells the nurse that they feel like they have "butterflies" in their stomach. The patient has felt this in the past before having a seizure. The nurse recognizes that this feeling is:

Correct Answer is C

Explanation

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