Trauma Nursing: Head and Spinal Cord Injury · NCLEX Exam

What respiratory change can be anticipated in a patient with a spinal cord injury at level C4?

  1. An unaffected diaphragm with fully normal breathing
  2. Diaphragmatic paralysis likely requiring ventilatory support
  3. Only a mild weakness of the cough effort
  4. A spontaneous rise in resting tidal volume
Show answer and explanation

Correct answer: Diaphragmatic paralysis likely requiring ventilatory support

Injury at C4 or above may impair the phrenic nerve innervation of the diaphragm, reducing breathing ability and often requiring mechanical ventilation.

Difficulty: Medium Question 4 of 18

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