The nurse is assessing a neonate for a suspected spinal cord injury. What age-related considerations does the nurse take during the assessment? Select all that apply.
A) Because of the client's body structure, there is an increased risk for lumbar injuries.
B) The client's spine has increased ligamentous laxity, increasing the risk for spinal cord injury.
C) Since this client is below the age of four, there is an increased risk of lumbar injury.
D) The client's vertebral column is vulnerable to deformity without fracture.
E) The most reliable way to determine the mechanism and anatomy of injury in this client is by
B) The client's spine has increased ligamentous laxity, increasing the risk for spinal cord injury.
D) The client's vertebral column is vulnerable to deformity without fracture.
Explanation: A) The body structure of children below the age of eight, not four, places them at greater risk for cervical spine injury, not lumbar spine injury. Because of ligamentous laxity, the client is at increased risk for spinal cord injury without any radiographic evidence of injury such as fracture.
B) Because of ligamentous laxity, the client is at increased risk for spinal cord injury without any radiographic evidence of injury such as fracture.
C) The body structure of children below the age of eight places them at greater risk for cervical spine injury, not lumbar spine injury.
D) Because of ligamentous laxity, the client is at increased risk for spinal cord injury without any radiographic evidence of injury such as fracture.
E) Because of ligamentous laxity, the client is at increased risk for spinal cord injury without any radiographic evidence of injury such as fracture, therefore, radiographic tests are not an effective diagnostic to evaluate for spinal cord injury in clients of this age group.
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