Which of the following goals is appropriate for the nurse caring for an L1-L2 paraplegic undergoing rehabilitation?
A) Establishing an intermittent catheterization routine every 4 hours
B) Managing spasticity with range-of-motion exercises and medications
C) Establishing an ambulation program using short leg braces
D) Preventing autonomic dysreflexia by preventing bowel impactions
Ans: A
Feedback: The paraplegic patient with an L1-L2 injury will demonstrate flaccid paralysis. Developing an intermittent catheterization routine offers a way of manually draining the bladder, eliminating the need for an indwelling urinary catheter. Spasticity and autonomic dysreflexia are seen in patients with upper motor injuries above T6. With an injury at L1-L2, ambulation may be possible with long leg braces but not with short leg braces.
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