Which observation indicates that interventions provided to a client with neck injuries from a motor vehicle crash have been successful?
A) Urine is clear and odorless from indwelling catheter.
B) Moves all four extremities independently, feeds self, and participates in partial bath
C) Unable to move independently in bed
D) Rests in bed with lights and television turned off
Answer: B
The client sustained neck injuries from a motor vehicle accident. With these types of injuries, there is a risk for paralysis. Evidence that interventions have been successful for this client includes moving all four extremities independently, feeding self, and participating in partial bath care. This means the client has mobility, which is a successful outcome. The other observations indicate that the client is not yet recovered from the injuries or that interventions for the injuries have not yet been successful. The client who is in bed with the lights and television turned off might need additional psychosocial support.
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