The nurse is caring for a patient who has been diagnosed with an incomplete spinal cord injury (SCI) that has resulted in central cord syndrome
The nurse expects which findings related to this injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. It is likely a result of a hyperextension injury to the cervical spine.
2. Function, if restored, will occur first in the hands.
3. Loss of function will be greatest in the lower extremities.
4. Prognosis for recovery is poor.
5. The patient may have preexisting degenerative bone changes.
1,5
Rationale 1: Central cord syndrome is usually caused by a hyperextension injury resulting in damage to the center of the spinal cord.
Rationale 2: The typical pattern of recovery from central cord syndrome is return of lower extremity function first, followed by return of bladder function. Hand intrinsic function is often the last to return.
Rationale 3: In central cord syndrome, there is greater loss of motor and sensory function in the upper extremities than in the lower extremities.
Rationale 4: The overall prognosis for recovery from central cord syndrome is generally favorable.
Rationale 5: Central cord syndrome is the most common incomplete SCI. This injury can occur at any age, but it is seen most frequently in older patients who have degenerative bony changes in the cervical spine resulting in narrowing of the overall diameter of the spinal canal.
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The nurse admits a child to the pediatric unit who has an abnormally high serum iron level. What chelating agent will be appropriate to treat this child?
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The nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?" The best response would be
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