What assessment finding will the nurse expect to observe in a tetraplegic patient in spinal shock?
A) Absence of reflexes along with flaccid extremities
B) Positive Babinski's reflex along with spastic extremities
C) Hyperreflexia along with spastic extremities
D) Spasticity of all four extremities
Ans: A
Feedback: During the period immediately following a spinal cord injury, spinal shock occurs. All reflexes are absent and the extremities are flaccid. When spinal shock subsides, the patient demonstrates positive Babinski's reflex, hyperreflexia, and spasticity of all four extremities.
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