NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A client with quadriplegia is in spinal shock. What finding should the nurse expect?
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Absence of reflexes along with flaccid extremities
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Positive Babinski’s reflex along with spastic extremities
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Hyperreflexia along with spastic extremities
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Spasticity of all four extremities
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Explanation:
Detailed explanation-1: -Spinal or neurogenic shock is characterized by hypotension, bradycardia, dry skin, flaccid paralysis, or the absence of reflexes below the level of injury. The absence of pain sensation in the chest doesn’t apply to spinal shock. Spinal shock descends from the injury, and respiratory difficulties occur at C4 and above.
Detailed explanation-2: -Spinal shock is more pronounced in severe spinal cord injury and at higher neurological levels of injury. The somatic component of spinal shock are flaccid motor paralysis, loss of sensory function, and loss of deep tendon and cutaneous reflexes.
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