{"id":143015,"date":"2024-09-22T19:13:15","date_gmt":"2024-09-22T19:13:15","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=143015"},"modified":"2024-09-22T19:13:17","modified_gmt":"2024-09-22T19:13:17","slug":"a-client-arrives-to-the-emergency-department-after-falling-from-a-ladder","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/22\/a-client-arrives-to-the-emergency-department-after-falling-from-a-ladder\/","title":{"rendered":"A client arrives to the emergency department after falling from a ladder"},"content":{"rendered":"\n<p>A client arrives to the emergency department after falling from a ladder. The client has a loss of sensation and flaccid paralysis. Which of the following complications of an acute spinal cord injury does the nurse suspect?<\/p>\n\n\n\n<p>A.<br>Hemorrhage<\/p>\n\n\n\n<p>B.<br>Spinal shock<\/p>\n\n\n\n<p>C.<br>Apoptosis<\/p>\n\n\n\n<p>D.<br>Neurogenic shock<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>B. Spinal shock<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>When a client presents with <strong>loss of sensation<\/strong> and <strong>flaccid paralysis<\/strong> following a traumatic injury like a fall from a ladder, one of the key concerns is acute spinal cord injury. Spinal shock is a <strong>transient condition<\/strong> that occurs after acute spinal cord injury and is characterized by <strong>loss of motor, sensory, and reflex function below the level of the injury<\/strong>. This results in <strong>flaccid paralysis<\/strong> (absence of muscle tone), <strong>areflexia<\/strong> (absence of reflexes), and <strong>loss of sensation<\/strong>.<\/p>\n\n\n\n<p>In spinal shock, the pathways between the spinal cord and the brain are disrupted, leading to the temporary loss of function, which can last from several hours to weeks. Spinal shock occurs as a result of <strong>sudden cessation of normal activity of spinal neurons<\/strong> after the injury and often resolves once reflex activity begins to return.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Comparison with Other Options:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Hemorrhage<\/strong>: This refers to bleeding, which can occur after trauma, but would not specifically explain the combination of <strong>flaccid paralysis and loss of sensation<\/strong>. Hemorrhage could lead to pressure on the spinal cord but is not the direct cause of spinal shock.<\/li>\n\n\n\n<li><strong>C. Apoptosis<\/strong>: This refers to programmed cell death, which can occur after injury, but it is not an acute event that leads to immediate symptoms of paralysis or sensory loss. Apoptosis is more associated with longer-term cell death and tissue changes post-injury.<\/li>\n\n\n\n<li><strong>D. Neurogenic shock<\/strong>: While this also results from spinal cord injury, it primarily affects the <strong>autonomic nervous system<\/strong>, causing issues like <strong>hypotension, bradycardia, and vasodilation<\/strong>. Neurogenic shock typically occurs with injury above the <strong>T6 level<\/strong>, but it does not cause <strong>flaccid paralysis<\/strong> or sensory loss directly.<\/li>\n<\/ul>\n\n\n\n<p>Thus, <strong>spinal shock<\/strong> is the most likely complication given the symptoms of flaccid paralysis and sensory loss.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A client arrives to the emergency department after falling from a ladder. The client has a loss of sensation and flaccid paralysis. Which of the following complications of an acute spinal cord injury does the nurse suspect? A.Hemorrhage B.Spinal shock C.Apoptosis D.Neurogenic shock The correct answer and Explanation is : The correct answer is B. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-143015","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143015","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=143015"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143015\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=143015"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=143015"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=143015"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}