Traumatic Brain and Spinal Cord Injury · NCLEX Exam

What is the most urgent respiratory concern in a patient with high cervical spinal cord injury at C2-C3?

  1. Mild transient dyspnoea that resolves quickly
  2. Loss of diaphragmatic and intercostal function needing ventilatory support
  3. Numbness limited to both upper extremities
  4. An increase in effective cough strength
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Correct answer: Loss of diaphragmatic and intercostal function needing ventilatory support

Injuries at the C2-C3 level impair the phrenic nerve and diaphragmatic control, leading to respiratory failure and the need for ventilation.

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