What functional ability should the nurse expect in a child with a spinal cord lesion at C7?
a. Complete respiratory paralysis
b. No voluntary function of upper extremities
c. Inability to roll over or attain sitting position
d. Almost complete independence within limitations of wheelchair
ANS: D
Individuals who sustain injuries at the C7 level are able to achieve a significant level of independence. Some assistance is needed with transfers and lower extremity dressing. Patients are able to roll over in bed and to sit and eat independently. Patients with injuries at C3 or higher have complete respiratory paralysis. Those with injuries at C4 or higher do not have voluntary function of higher extremities. Injuries at C5 or higher prevent rolling over or sitting.
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