A client who fell while skiing reports mild pain at the site of his coccyx. An X-ray shows no bone damage, but the client is concerned that he has damaged his spinal cord
Which of the following responses shows the nurse's understanding of the client's concern? 1. "Your spinal cord ends above your coccyx bone, so there is no need to worry.".
2. "I see no reason to be worried, but I can share your concern with your health care provider.".
3. "As long as there is no break in the vertebral column, your spinal cord is undamaged.".
4. "If you are not experiencing any weakness or numbness now, your spinal cord is undamaged.".
"Your spinal cord ends above your coccyx bone, so there is no need to worry.".
Rationale: The spinal cord is shorter than the vertebral column, so damage to the spinal cord by such an injury is unlikely. The spinal cord may be damaged even if the vertebral column is unbroken. The symptoms described may manifest hours to days after an injury. The nurse should attempt to address the client's concerns rather than directing them to the health care provider.
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