Neurological Question #35

Question

The nurse is caring for a client who is recovering from a T1 spinal cord injury. Which is the best explanation by the nurse to the client and family on ability for motor function in relation to spinal cord injury?

Answers

1. There will be complete loss of mobility with paralysis from the neck down.
   • Rationale:
2. There will be risks of respiratory depression because of the location of the injury.
   • Rationale:
3. The shoulders may be mobile and shrug, but the arms below the shoulders will be paralyzed.
   • Rationale:
4. The arms will retain their full function.
   • Rationale:

Overview

Explanation

T1 injuries are expected to retain full function of arms. C5 and above indicate complete loss of mobility with paralysis from the neck down above C-5 and shoulder only with paralysis downward for C-5. Respiratory depression will occur for cervical injuries, especially those above C-5.

Learning Outcomes

Test Taking Tip

Video Rationale