-A patient has experienced a spinal cord injury at the T8 level. Which objective assessment data are associated with such trauma? (Select all that apply.)
Hyperalgesia extending from the nipple line downward
Anesthesia extending from the waist downward
Hyperesthesia extending from the clavicles downward
Analgesia extending from the waist downward
Anesthesia extending from the hips downward
-A patient who experienced a spinal cord injury is now undergoing passive range-of-motion (ROM) exercises to help maintain joint motion. The nurse will include which intervention in the patient's ROM routine? (Select all that apply.)
Perform at least two times daily
Incorporate as part of the bathing routine
Dorsiflex and plantar flex the ankle joints
Hold each position for 5 seconds
Perform the exercise at least three times at each joint
The correct answer to the first question is:
Anesthesia extendingfrom the waist downward. Behind 8th thoracic vertebra runs the 8th spinal nerve and hence as a result of the injury, the area below the ribs will be paralaysed and the patient feels no sensation frm the area which covers waist , hip and lower extremities whereas the upper rib cage is preserved.
The options of frst and third could be directly excluded as the thoracic injury hav no wrk to do with the areas of upper ribs.The areas under related to nipple and clavicles will face troubles related to injuries of c4 vertebrea.
The fourth option of feeling analgesia extending from hip to lower part can be excluded as the patient will be only feeling sensationless below the part.The complete ROM exercise include dorsiflexion and plantar flexion of each joint.
Even though the last option of anesthesia starting frm hip to downward includes the area of paralysis, the correct point notes from waist as it is just lower to rib cage.
Answer to question number 2:
All the options are correct because the patient need more care for ambulation and exercise.
Making it frequent with bathing time improves better circulation.
Dorsiflexion and plantar flexion of extremities are a part of complete ROM.
Continuing d pisture for 5 minutes reduce the chance of contractures
Minimal 3 times exeecise is mandatory to improve mobility
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