Practice Quiz

NCLEX-RN

Category - Basic Care

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A client who was brought in because of a lumbar spinal injury after falling from a three-story building is admitted to the ICU for close monitoring. This kind of injury is prone to complications of immobility. The planned care includes the use of support devices. The nurse utilizes the following devices, except:
  1. Egg crate mattress
  2. Foot board
  3. Chair bed
  4. Pillows
Explanation
Answer: C - The most common complications of immobility due to lumbar spinal cord injury are foot drop or plantar flexion and decubitus ulcers; therefore, the nurse should utilize pillows, foot boards and egg crate mattresses. Chair beds are used for clients who can tolerate upright sitting on the bed. Clients with a spinal cord injury are commonly positioned neutrally, flat on the bed to prevent further injury. Pillows may be used to support bony prominences when a client is turned to on his or her side.
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