A nurse is assessing a client who has a spinal cord injury at the level of T6. Which of the following findings should the nurse expect? (Select all that apply.)

Loss of sensation below the waist

Paralysis of the lower extremities

Impaired bladder and bowel control

Difficulty swallowing

Decreased sweating and shivering

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the sensory nerves that innervate the lower half of the body, resulting in loss of sensation below the waist.

Choice B reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the motor nerves that innervate the lower half of the body, resulting in paralysis of the lower extremities.

Choice C reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the autonomic nerves that innervate the bladder and bowel, resulting in impaired bladder and bowel control.

Choice D reason:

This is an incorrect answer. A spinal cord injury at the level of T6 does not affect the cranial nerves that innervate the pharynx and esophagus, which are responsible for swallowing.

Choice E reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the autonomic nerves that innervate the sweat glands and thermoregulatory centers, resulting in decreased sweating and shivering.

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Correct Answer is A

Explanation

Choice A reason:

This is a correct answer. Elevating the head of the bed to 30 degrees helps to reduce ICP by facilitating venous drainage from the brain and decreasing cerebral edema.

Choice B reason:

This is an incorrect answer. Administering morphine sulfate for pain relief can increase ICP by causing vasodilation, respiratory depression, and increased carbon dioxide levels in the blood.

Choice C reason:

This is an incorrect answer. Encouraging coughing and deep breathing exercises can increase ICP by increasing intrathoracic pressure, which impedes venous drainage from the brain.

Choice D reason:

This is an incorrect answer. Performing passive range of motion exercises can increase ICP by stimulating the sympathetic nervous system, which increases blood pressure and cerebral blood flow.

A. Elevated cerebrospinal fluid (CSF) protein level B. Decreased serum creatinine kinase (CK) level C. Increased CSF white blood cell (WBC) count D. Decreased serum sodium level

Correct Answer is C

Explanation

Choice A reason:

This is an incorrect answer. Elevated CSF protein level is a common finding in clients who have GBS due to demyelination of peripheral nerves. It does not indicate infection or inflammation and does not require immediate intervention.

Choice B reason:

This is an incorrect answer. Decreased serum CK level is a normal finding in clients who have GBS because CK is released from damaged muscle tissue and GBS does not affect muscle cells directly.

Choice C reason:

This is a correct answer. Increased CSF WBC count indicates infection or inflammation in the central nervous system (CNS), which can be a complication of GBS or a sign of another condition such as meningitis or encephalitis. The nurse should report this finding to the provider for further evaluation and treatment.

Choice D reason:

This is an incorrect answer. Decreased serum sodium level can occur.

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A nurse is assessing a client who has a spinal cord injury at the level of T6. Which of the following findings should the nurse expect? (Select all that apply.)

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