A client has a spinal cord injury with paralysis at C5 level. When completing discharge teaching, which client statement would require further teaching?
1. "I need to perform self-catheterization three times daily."
2. "I know I cannot look to see if my bladder is full."
3. "I need to avoid bladder distention."
4. "I'll drink adequate amounts of liquids."
Correct Answer: 1
Dysreflexia occurs in clients with spinal cord injuries at level T7 or higher. Bladder distention causes a sympathetic response that can trigger a potentially life-threatening hypertensive crisis. It would be crucial for the client with this type of injury to avoid bladder distention by performing self-catheterization before this happens, most likely every 3 to 4 hrs. By the time the client can see his abdomen expand or have a sense of bladder fullnessâ€"if able to have this sensationâ€"it may be too late to avoid dysreflexia. Liquids are important in maintaining the urinary system.
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