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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason:
This is an incorrect answer. A tonic-clonic seizure (also known as a grand mal seizure) is characterized by alternating phases of muscle rigidity and jerking movements, along with loss of consciousness and postictal confusion.
Choice B reason:
This is a correct answer. An absence seizure (also known as a petit mal seizure) is characterized by brief episodes of staring, blinking, lip smacking, or other subtle movements, along with impaired awareness and no postictal confusion.
Choice C reason:
This is an incorrect answer. A myoclonic seizure is characterized by sudden, brief, and irregular muscle contractions, usually involving the arms, legs, or trunk.
Choice D reason:
This is an incorrect answer. An atonic seizure (also known as a drop attack) is characterized by sudden loss of muscle tone, resulting in falling or collapsing.
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