A nurse is assessing a client who has a spinal cord injury. Which of the following assessment findings should the nurse expect with neurogenic shock? (Select all that apply.)
(Select All that Apply.)

Choice A Reason:

"You must experiment with your body to find out what stimulation is enjoyable after your injury." This statement encourages the client to explore their body and discover what types of sexual stimulation are enjoyable and pleasurable for them post-injury. It promotes self-discovery and empowerment in sexual expression, which can be important for sexual satisfaction and intimacy.

Choice B Reason:

"You will not be able to have an intimate relationship with anyone after a spinal cord injury." This statement is incorrect and defeatist. It can create unnecessary feelings of hopelessness and despair in the client. Individuals with spinal cord injuries can still have intimate relationships and engage in sexual activity with partners, albeit with potential adjustments or accommodations.

Choice C Reason:

"You should not feel undesirable after your injury. You are still nice-looking. “While it's important to address body image concerns and reassure the client about their physical appearance, this statement may not directly address sexual stimulation or intimacy. However, it can help promote self-confidence and positive self-esteem, which are important aspects of sexuality and relationships.

Choice D Reason:

"Clients who have a spinal cord injury are not aroused by touch around the groin area." This statement is inaccurate and dismissive of the individual's potential for sexual arousal and pleasure. Sensation and arousal can vary among individuals with spinal cord injuries, and touch around the groin area may still be arousing for some individuals, depending on the level and extent of injury.

Choice A Reason:

Encouraging the client to walk regularly is appropriate. Regular exercise, including walking, can help improve mobility, balance, and overall physical function in individuals with Parkinson's disease. It can also help alleviate symptoms such as stiffness and tremors.

Choice B Reason:

Providing the client with fresh fruits and vegetables is appropriate. A healthy diet rich in fresh fruits and vegetables provides essential nutrients, antioxidants, and fiber, which can support overall health and well-being. While diet alone does not directly treat Parkinson's disease, maintaining a nutritious diet is important for overall health.

Choice C Reason:

Restricting fluids to 800 mL/day is inappropriate. Fluid restriction is not typically indicated for individuals with Parkinson's disease unless they have a specific medical condition such as heart failure or kidney disease, which may require fluid restriction as part of their management plan. Restricting fluids excessively can lead to dehydration, which can worsen symptoms such as fatigue, confusion, and constipation, common in Parkinson's disease. Adequate hydration is important for overall health and well-being, including maintaining proper kidney function and preventing urinary tract infections, which individuals with Parkinson's disease may be susceptible to due to urinary retention issues.

Choice D Reason:

Minimizing exposure to outside activities is inappropriate. While it's important for individuals with Parkinson's disease to take precautions to avoid falls and injuries, completely restricting exposure to outside activities is not necessary or advisable. Physical activity, social engagement, and exposure to sunlight are beneficial for both physical and mental health. Encouraging individuals with Parkinson's disease to remain engaged in activities they enjoy, with appropriate safety measures in place, can help maintain their quality of life and overall well-being.

Choice E Reason:

Teaching the client how to use a walker is inappropriate. Assistive devices such as walkers can help individuals with Parkinson's disease maintain mobility and independence, especially if they experience gait disturbances or balance problems. Teaching the client how to use a walker safely and effectively can enhance their quality of life and reduce the risk of falls.