A 33-year-old patient with a T4 spinal cord injury asks the nurse ...

[jCorn1234]

A 33-year-old patient with a T4 spinal cord injury asks the nurse whether he will be able to be sexually active. Which initial response by the nurse is best?
 
  a. Reflex erections frequently occur, but orgasm may not be possible.
  b. Sildenafil (Viagra) is used by many patients with spinal cord injury.
  c. Multiple options are available to maintain sexuality after spinal cord injury.
  d. Penile injection, prostheses, or vacuum suction devices are possible options.

Question 2

A patient with neurogenic shock following a spinal cord injury is to receive lactated Ringer's solution 500 mL over 30 minutes. When setting the IV pump to deliver the IV fluid, the nurse will set the rate at how many mL/hour?
 
  What will be an ideal response?

[morrie123456]

Answer to Question 1

ANS: C
Although sexuality will be changed by the patient's spinal cord injury, there are options for expression of sexuality and for fertility. The other information also is correct, but the choices will depend on the degrees of injury and the patient's individual feelings about sexuality.

Answer to Question 2

ANS:
1000
To administer 500 mL in 30 minutes, the nurse will need to set the pump to run at 1000 mL/hour.