The nurse is preparing to conduct a physical examination of a client's head and neck area. The client is in a wheelchair due to a C3-C4 spine injury. Which action by the nurse is appropriate when conducting the physical assessment of this area?
A) Supporting the client during the examination
B) Placing the client in an armless regular chair
C) Placing the client in a Sims position
D) Placing the client in a supine during the examination
Answer: A
The client with a C3-C4 spine injury is not able to support the body. When considering positioning, the nurse recognizes that the client will need to be supported during the procedure. Placing the client supine will not allow the nurse full view of the client during observation. This client would not be able to sit in an armless chair, which has no support. The Sims position would not allow the nurse to observe the client adequately.
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