When the nurse is developing a rehabilitation plan for a 30-year-old patient with a C6 spinal cord injury, an appropriate goal is that the patient will be able to
a. drive a car with powered hand controls.
b. push a manual wheelchair on a flat surface.
c. turn and reposition independently when in bed.
d. transfer independently to and from a wheelchair.
ANS: B
The patient with a C6 injury will be able to use the hands to push a wheelchair on flat, smooth surfaces. Because flexion of the thumb and fingers is minimal, the patient will not be able to grasp a wheelchair during transfer, drive a car with powered hand controls, or turn independently in bed.
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