What expected outcome should a nurse observe for a client with spinal cord injuries at the T1 and T2 vertebrae level?

For a client with spinal cord injuries at the T1 and T2 vertebrae level, the expected outcome of flexing and extending the shoulders is accurate because injuries at this level primarily affect the upper thoracic region of the spine. The T1 and T2 vertebrae control movement and sensation primarily to the upper limbs and the trunk.

Nerve pathways responsible for shoulder movement originate from the cervical spine; thus, individuals with injuries at the T1 and T2 levels typically retain some function in their upper extremities, particularly movements involving the shoulders and arms. This includes the ability to flex and extend the shoulders, enabling clients to perform some daily activities independently or with minimal assistance.

In contrast, the other options involve functions that are not expected after such injuries. Walking with assistance or regaining full leg movement would imply a level of ambulation and lower body control that is typically not feasible due to the paralysis or loss of motor function associated with injuries at or above the T1-T2 regions. Similarly, demonstrating balance while standing is unlikely because individuals with such injuries generally do not have the trunk stability needed for standing balance. Therefore, the focus on shoulder movement is a realistic and achievable outcome for these clients.