Author Question: After teaching a male client with a spinal cord injury at the T4 level, the nurse assesses the ... (Read 97 times)

fbq8i · **on:** Jun 25, 2018

After teaching a male client with a spinal cord injury at the T4 level, the nurse assesses the client's understanding. Which client statements indicate a correct understanding of the teaching related to sexual effects of this injury?

(Select all that apply.)

a.
I will explore other ways besides intercourse to please my partner.
b.
I will not be able to have an erection because of my injury.
c.
Ejaculation may not be as predictable as before.
d.
I may urinate with ejaculation but this will not cause infection.
e.
I should be able to have an erection with stimulation.

Question 2

After teaching a client with a spinal cord tumor, the nurse assesses the client's understanding. Which statements by the client indicate a correct understanding of the teaching? (Select all that apply.)

a. Even though turning hurts, I will remind you to turn me every 2 hours.
b. Radiation therapy can shrink the tumor but also can cause more problems.
c. Surgery will be scheduled to remove the tumor and reverse my symptoms.
d. I put my affairs in order because this type of cancer is almost always fatal.
e. My family is moving my bedroom downstairs for when I am discharged home.

CourtneyCNorton · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C, D, E
Men with injuries above T6 often are able to have erections by stimulating reflex activity. For example, stroking the penis will cause an erection. Ejaculation is less predictable and may be mixed with urine. However, urine is sterile, so the client's partner will not get an infection.

Answer to Question 2

ANS: A, B, E
Although surgery may relieve symptoms by reducing pressure on the spine and debulking the tumor, some motor and sensory deficits may remain. Spinal tumors usually cause disability but are not usually fatal. Radiation therapy is often used to shrink spinal tumors but can cause progressive spinal cord degeneration and neurologic deficits. The client should be turned every 2 hours to prevent skin breakdown and arrangements should be made at home so that the client can complete activities of daily living without needing to go up and down stairs.