The nursing assessment confirms that the patient has experienced loss of voluntary motor and sensory function of both upper and lower extremities, as well as bowel and bladder control, due to a spinal cord injury (SCI)
The nurse recognizes that which is true regarding this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. This patient has experienced an incomplete spinal injury.
2. The patient is likely to regain only limited motor control.
3. All deep tendon reflexes are affected.
4. The injury was likely a result of trauma to the C1 to C4 level of the spinal cord.
5. Tetraplegia is the term for the patient's neurological deficiencies.
3,4,5
Rationale 1: A complete spinal cord injury indicates complete loss of voluntary motor and sensory functions below the level of injury.
Rationale 2: The damage to the spinal cord in this type of injury is irreversible.
Rationale 3: The patient's injuries would result in deep tendon reflex involvement.
Rationale 4: The injury was likely a result of trauma to the C1 to C4 level of the spinal cord. An injury at this level exhibits all the identified symptoms.
Rationale 5: Injuries involving the cervical spinal cord result in tetraplegia, or loss of motor and sensory function involving both upper extremities, both lower extremities, bowel, and bladder.
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