When the Client Who Has Been in Flaccid Spinal Shock

question 6

Multiple Choice

When the client who has been in flaccid spinal shock dorsiflexes the great toe and fans the other toes when the sole of his foot is stroked, the nurse is

• A) alarmed, because this indicates increased ICP.
• B) alerted, because this indicates possible meningeal irritation.
• C) distressed, because this indicates deterioration.
• D) pleased, because this indicates a reduction of spinal shock.

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