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1. Question
The nurse is evaluating the neurological signs of a client in spinal shock following spinal cord injury. Which observation indicates that spinal shock persists?
Correct
Answer: Option 3 is the correct answer.
Rationale: Resolution of spinal shock is occurring when there is return of reflexes (especially flexors to noxious cutaneous stimuli), a state of hyperreflexia rather than flaccidity, and reflex emptying of the bladder. Test-Taking Strategy: Recall that spinal shock is characterized by the loss of movement of skeletal muscles, loss of bowel or bladder wall function, and depressed reflex action. Return of any of these indicates that spinal shock is beginning to resolve. Note that options 1, 2, and 4 are comparable or alike, indicating the presence of reflexes.
Incorrect
Answer: Option 3 is the correct answer.
Rationale: Resolution of spinal shock is occurring when there is return of reflexes (especially flexors to noxious cutaneous stimuli), a state of hyperreflexia rather than flaccidity, and reflex emptying of the bladder. Test-Taking Strategy: Recall that spinal shock is characterized by the loss of movement of skeletal muscles, loss of bowel or bladder wall function, and depressed reflex action. Return of any of these indicates that spinal shock is beginning to resolve. Note that options 1, 2, and 4 are comparable or alike, indicating the presence of reflexes.
Spinal shock:
Spinal shock Also known as spinal shock syndrome. It is a complete but temporary loss of motor, sensory, reflex, and autonomic function that occurs soon after the injury as the cord’s response to the injury. It usually lasts less than 48 hours but can continue for several weeks.
