Assignment: Central Cord Syndrome
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Question 16
Several months ago, a 20-year-old male suffered a spinal cord injury brought about by a snowboard trick gone wrong. The lasting effects of his injury include a flaccid bowel and bladder and the inability to obtain an erection. While sensation has been completely preserved in his legs and feet, his motor function is significantly impaired. What type of incomplete spinal cord injury has the man most likely experienced?
Answers:
A. Central cord syndrome
B. Conus medullaris syndrome
C. Brown-Séquard syndrome
D. Anterior cord syndrome
Question 17
A client with a gastrointestinal bleed secondary to alcohol abuse and a hemoglobin level of 5.8 g/dL has been ordered a transfusion of packed red blood cells. The client possesses type B antibodies but lacks type D antigens on his red cells. Transfusion of which of the following blood types would be least likely to produce a transfusion reaction?
Answers:
A. A–
B. A
C. B–
D. B
Question 18
Which of the following clients’ signs and symptoms would allow a clinician to be most justified in ruling out stroke as a cause? An adult
Answers:
A. has vomited and complained of a severe headache.
B. states that his left arm and leg are numb, and gait is consequently unsteady.
C. has experienced a sudden loss of balance and slurred speech.
D. has had a gradual onset of weakness, headache, and visual disturbances over the last 2 days.
Question 19
Amniocentesis has suggested that a couple’s first child will be born with sickle cell disease. The parents are unfamiliar with the health problem, and their caregiver is explaining the complexities. Which of the following statements by the parents would suggest a need for further teaching or clarification?
Answers:
A. “Our baby’s red cells are prone to early destruction because of his or her weak membranes.”
B. “Our son or daughter likely won’t show the effects of sickling until he or she is school-aged because of the different hemoglobin in babies.”
C. “Not all of his or her red cells will be sickled, but low oxygen levels can cause them to become so.”
D. “Sickled cells can block his or her blood vessels, especially in the abdomen, chest, and bones.”
Question 20
During science class, a student asks, “What’s the difference between plasma and serum in the blood?” The nurse responds that the primary difference between plasma and serum is that plasma contains
Answers:
A. hydrogen ions.
B. heparin.
C. white blood cells.
D. fibrinogen.
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