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 D

Explanation

A. A complete spinal cord injury means that both sensory and motor functions are lost below the level of the injury. If the client had some movement and sensation, it would indicate an incomplete injury, which is not consistent with a complete transection.
B. This option describes a situation known as "motor incomplete," where there is preserved motor function but loss of sensory function below the level of injury. However, in a complete transection at C7, there would be no movement or sensation below that level, making this statement inaccurate.
C. This describes a condition where sensory pathways remain intact while motor pathways are disrupted, which is seen in incomplete spinal cord injuries. However, a complete transection at C7 would mean both movement and sensation are absent below the injury level, making this option incorrect.
D. In the case of a complete spinal cord transection at C7, the client would experience total loss of both sensation and movement below that level. This is consistent with the definition of a complete spinal cord injury.

A. Manual wheelchair B. Sip-and-puff device C. Ultra-light wheelchairs D. Drive-adapted wheelchair

Correct Answer is B

Explanation

A. A manual wheelchair would not be appropriate for a client with a C4 spinal cord injury. At this level, the client typically has significant loss of motor function and limited ability to propel a manual wheelchair due to weakness in the upper extremities. Therefore, this option is not suitable.
B. A sip-and-puff device allows clients with limited mobility to control a powered wheelchair by inhaling or exhaling into a straw-like device. For a client with a C4 injury, this is a feasible mobility solution that enables independence without the need for significant upper body strength.
C. Ultra-light wheelchairs are designed for individuals who have the strength and ability to propel themselves or those who need minimal assistance. However, a client with a C4 spinal cord injury would likely lack the strength needed for an ultra-light wheelchair, making this option inappropriate.
D. A drive-adapted wheelchair can be customized for individuals with various disabilities, including those with limited mobility. However, while it can be suitable for higher-level injuries (like C4), it would depend on the client's overall condition and whether they have the ability to operate controls, often using adaptive technology.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a transection of the spinal cord at the level of cervical 7. Which of the following assessment findings should the nurse anticipate?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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