After teaching a male client with a spinal cord injury at the T4 level, the nurse assesses the client's understanding. Which client statements indicate a correct understanding of the teaching related to sexual effects of this injury?
(Select all that apply.)
a.
"I will explore other ways besides intercourse to please my partner."
b.
"I will not be able to have an erection because of my injury."
c.
"Ejaculation may not be as predictable as before."
d.
"I may urinate with ejaculation but this will not cause infection."
e.
"I should be able to have an erection with stimulation."
ANS: C, 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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