A child has been admitted with a paraspinal Ewing's sarcoma. The nursing instructor questions the student about assessing for signs of spinal cord compression. Which manifestations does this include? (Select all that apply.)

A.
Burning pain down the legs
B.
Difficulty with swallowing
C.
"Foot drop," causing a limp
D.
Respiratory depression
E.
Weakness in the hands


ANS: A, C, E
Common manifestations of spinal cord compression include burning pain, often down the legs; foot drop causing difficulty with ambulation; and weakness in the hands. Other manifestations include numbness, cramping, and loss of sensation in the feet, and sexual dysfunction in the older patient. Swallowing problems and respiratory depression are not related.

Nursing

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