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Practice Question

 A client is paralyzed after a recent motor vehicle accident. What type of personal hygiene should be selected for daily care?

Answer Choices:

Correct Answer:

Complete bed bath

Rationale:

✳️A paralyzed client cannot safely stand, transfer, or participate in out-of-bed bathing, requiring a complete bed bath.

✳️This method ensures thorough hygiene without risking falls or musculoskeletal injury.

✳️A bed bath allows the nurse to assess skin integrity, especially high-risk areas for pressure injury.

✳️It promotes comfort while accommodating limited mobility and functional deficits.

✳️Complete bed baths are the safest daily hygiene method for clients with new or total paralysis.

Sponge bath at sink

✳️This requires the client to sit upright and maintain posture, which is unsafe for a paralyzed individual.

✳️Attempting to transfer the client to a sink increases risk of falls.

✳️Many paralyzed clients cannot support their trunk or head, making this option inappropriate.

✳️The sink area lacks the necessary safety equipment for paralyzed clients.

✳️This method does not match the client’s functional limitations.

Tub bath with chair

✳️Tub transfers are extremely dangerous for clients with complete or new paralysis.

✳️Even with a chair, the environment is slippery, increasing risk of injury.

✳️Tub baths require significant upper-body strength and stability, which the client does not have.

✳️Tub bathing is usually reserved for clients in later rehabilitation, not acute paralysis.

✳️This option does not ensure adequate safety or support.

Shower with chair

✳️Shower chairs require the client to maintain seated balance, which many newly paralyzed clients cannot do.

✳️Transferring to the shower area poses high fall risk.

✳️Shower water increases the chance of slipping or sliding, even with a chair.

✳️Many paralyzed clients cannot tolerate prolonged sitting due to orthostatic issues.

✳️This is not the safest option for daily bathing immediately after paralysis.

Want to practice more questions like this?

This question is from EXAMPLIFY RN W4 NR224.NR229 Exam 1 which contains 57 questions.

More Questions from This Exam
The nurse cares for a client with right-sided weakness from a stroke and an order for ambulation with a cane. Which action should the nurse take when caring for the client?

Answer Choices:

A. Have the client stand with feet close together for better balance.
B. Stand on the left side of the cane when ambulating the client.
C. Have the client move the cane forward and take a step with the left foot.
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 A nurse is planning client education about active range of motion (ROM) exercises. Which instruction should the nurse plan to include in the teaching?

Answer Choices:

A. Perform exercises until you feel pain in the joint.
B. Perform exercises rapidly to increase muscle strength.
C. Expose the entire body to observe overall movement.
D. Move each joint until there is resistance and then stop.
The nurse is caring for a client who is confused and at risk for falls. Which action should the nurse take first?

Answer Choices:

A. Sit the client at the nurses' station.
B. Initiate the bed alarm system.
C. Place the client in soft wrist restraints.
D. Ask the healthcare provider for a sedative.
The nurse finishes administering an intramuscular injection when a needle punctures the nurse's gloved finger. What should the nurse prioritize?

Answer Choices:

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From Exam
EXAMPLIFY RN W4 NR224.NR229 Exam 1

57 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Fundamentals
  • Answer Choices: 4
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