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.
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This question is from EXAMPLIFY RN W4 NR224.NR229 Exam 1 which contains 57 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Fundamentals
- Answer Choices: 4