A nurse is caring for a client following a complete spinal cord transection injury. The client's family asks the nurse what the term paraplegia means. Which of the following responses should the nurse make?
His lower body and legs are extremely weak.
He is unable to move his lower body and legs.
He has temporarily lost motor and sensory functions below the waist.
He cannot move anything from the neck down.
The Correct Answer is B
A. Weakness in the lower body is not an accurate description of paraplegia. Paraplegia refers to the loss of function, not just weakness.
B. Paraplegia refers to the loss of motor and sensory function in the lower body, including the legs, due to a spinal cord injury, typically below the level of the injury. This is the most accurate response.
C. Temporary loss of motor and sensory functions is more characteristic of conditions like spinal shock, not paraplegia. Paraplegia refers to permanent impairment following spinal cord injury.
D. The description of loss of movement from the neck down is characteristic of quadriplegia (or tetraplegia), not paraplegia, which specifically involves the lower body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The sympathetic nervous system is responsible for the "fight or flight" response. This response includes tachycardia (increased heart rate) and dilated pupils (mydriasis), both of which are common physiological changes during sympathetic activation.
B. Pupil constriction and bronchoconstriction are associated with the parasympathetic nervous system, which is responsible for the "rest and digest" functions.
C. Increased peristalsis and abdominal cramping are also associated with the parasympathetic nervous system, as it promotes digestion and relaxation of the body.
D. Hypoglycemia and headache are not direct indicators of sympathetic activation. Hypoglycemia can occur for various reasons, and headaches can be caused by multiple factors, but they are not specific signs of sympathetic nervous system activation.
Correct Answer is B
Explanation
A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.
B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.
C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.
D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.
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