The nurse is teaching a male client with a spinal cord injury at T4 (thoracic) about the sexual effects of this injury. Which statement by the client indicates correct understanding of the teach-ing? (Select all that apply.)
a. "I will not be able to have an erection be-cause of my injury."
b. "Ejaculation may not be as predictable as before."
c. "I will explore other ways besides inter-course to please my partner."
d. "I may urinate with ejaculation but this will not cause an infection."
e. "I should be able to have an erection with stimulation."
B, D, E
Men with injuries above T6 often are able to have erections by stimulating reflex activity. For example, stroking the penis will cause an erection. Ejaculation is less predictable and may be mixed with urine. However, urine is sterile, so the client's partner will not get an infection.
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