MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:
A
flaccidity of the upper extremities
B
hyperreflexia and spasticity of the upper extremities
C
impaired diaphragmatic function requiring ventilator support
D
independent use of upper extremities and efficient cough
Explanation: 

Detailed explanation-1: -When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find: flaccidity of the upper extremities.

Detailed explanation-2: -The T4 spinal nerves directly affect sensation around the 4th intercostal space (the area between your 4th and 5th rib), which is generally level with the nipples. Therefore, depending on the severity of their injury, someone with a T4 spinal cord injury may not be able to feel or move anything from their chest down.

Detailed explanation-3: -When individuals are paralyzed from the waist down, they’re susceptible to bowel and bladder complications, muscle atrophy, sexual dysfunction, and spasticity.

Detailed explanation-4: -Change in Body Composition. When paralyzed from the neck down, active movement is restricted. Without daily weight-bearing and movement, reductions in bone density and muscle mass occur. This can increase one’s risk of injury and slow down metabolic processes.

Detailed explanation-5: -Imaging tests, such as a CT scan or MRI, check for signs of stroke or brain injury or spinal cord injury. A whole-body imaging scan shows bones, muscles and tissues. Myelogram checks for spinal cord and nerve injuries. Electromyogram (EMG) tests the electrical activity of nerves and muscles.

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