A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?

Provide the client with a fixed showerhead.

Give the client a long-handled sponge.

Fill the client's bathtub with water at 48° C (118.4° F).

Offer the client bar soap.

Answer and Explanation

The Correct Answer is B

A.   A fixed showerhead may not allow the client to effectively control the water flow or direction, which could limit their independence and ability to bathe safely. A handheld showerhead is generally more suitable as it enables the client to direct the water flow where needed.
B.   A long-handled sponge allows the client to reach different parts of their body without requiring significant movement, making bathing easier and more manageable. It promotes independence and safety, especially for clients with limited mobility.
C.   This temperature is too high and poses a risk of burns or scalding, especially for clients with spinal cord injuries who may have impaired sensation. The water temperature should be lower, typically around 37-40°C (98.6-104°F), to prevent injury.
D.   While bar soap can be used, it may not be the best option for individuals with limited hand function or dexterity. Liquid soap or body wash may be easier to handle and use, promoting independence and reducing frustration.

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Correct Answer is B

Explanation

A. Quadriplegia, also known as tetraplegia, is characterized by paralysis of all four limbs and typically results from injuries at the cervical spine (C1-C8). Since T2-T3 injuries do not affect the cervical region, this option is not applicable.
B. Paraplegia results from spinal cord injuries that occur below the first thoracic vertebra (T1). Injuries at the T2-T3 level primarily affect the lower body, including the legs, pelvic organs, and trunk, but typically leave the arms and hands functional. Therefore, a client with a T2-T3 injury would have paraplegia.
C. Paresthesia refers to abnormal sensations such as tingling, prickling, or numbness. While a person with a spinal cord injury may experience paresthesia in areas below the level of injury, it is not a type of disability. Instead, it is a symptom that may accompany a spinal cord injury.
D. Hemiplegia is characterized by paralysis on one side of the body and usually results from brain injuries or strokes affecting one hemisphere. It is not associated with spinal cord injuries at the T2-T3 level and therefore is not applicable in this context.

A. Independent control of bowel and bladder function B. Use of a wheelchair with a chin or mouth stick- C. Ability to achieve independent transfer from bed to wheelchair D. Ability to self-feed with the use of adaptive equipment

Correct Answer is B

Explanation

A. At the C5 level, the client is likely to have significant limitations in motor function and autonomic control below the level of the injury. While some bowel and bladder management can be achieved, full independence in these functions is generally not realistic at this level.
B. This goal is realistic for a client at the C5 level. Individuals at this level can often use a power wheelchair or manual wheelchair with adaptive devices such as a chin or mouth stick to propel themselves.
C. Achieving independent transfers from bed to wheelchair is typically not feasible for someone with a complete C5 spinal cord injury. At this level, significant upper body strength is necessary for transfers, which the client may not have.
D. With the use of adaptive equipment and assistive technologies, the client can achieve a level of independence in mobility and daily activities. However, it is not a primary goal.

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A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?

Correct Answer is B

Explanation

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