The nurse caring for a client with a fractured third cervical vertebrae determines the client is in spinal shock. Which bed position is the most appropriate for this client?
1. Flat
2. Semi-Fowler's
3. Trendelenburg
4. Reverse Trendelenburg
Correct Answer: 1
A client with a fractured cervical vertebra must be maintained in a flat position to prevent any movement of the neck. Placing the client into the Trendelenburg position, which would normally be indicated for a client in shock, would put this client at risk for further damage to the spinal cord. Semi-Fowler's position is contraindicated due to the client's spinal injury, and the reverse Trendelenburg position is contraindicated due to the client's diagnosis of spinal shock.
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