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 an injury to the cervical spine. The nurse recognizes that the client:
1. Should be placed prone for the examination.
2. Should be supported during the examination.
3. Should be placed in an armless regular chair.
4. Should be placed in a Sims position.
2. Should be supported during the examination.
Rationale:
The client with a cervical 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 prone 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 hasno support. The Sims position would not allow the nurse to observe the client adequately.
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