A patient is admitted to the Neuro ICU with a spinal cord injury. When assessing the patient the nurse notes there is a sudden depression of reflex activity in the spinal cord below the level of injury. What does the nurse suspect?
A) Hypoactivity in reflexes
B) Hypertension
C) Spinal shock
D) Hypovolemia
Ans: C
Feedback: In spinal shock, the reflexes are absent, blood pressure and heart rate fall, and respiratory failure can occur. Because the patient does not perspire on the paralyzed portions of the body because sympathetic activity is blocked, close observation is required for early detection of an abrupt onset of fever.
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