The nurse is caring for a client with a spinal cord injury located at T5. Which of the following should be included in this client's plan of care?
1. Use mechanical ventilation.
2. Assess blood glucose level for onset of diabetes.
3. Assist with removal of pulmonary secretions.
4. Provide assistive devices for ambulation.
3
Because of the interruption in chest muscle innervation with spinal cord injuries located at level T7 and above, patients often need assistance with removal of secretions and have difficulty with inspiration and expiration. Mechanical ventilation is not needed for a spinal cord injury at level T5. A spinal cord injury does not precipitate the onset of diabetes. A client with a spinal cord injury at level T5 will not be able to use an assistive device to ambulate.
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1. 2. 3. MRSA 4. 5.
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1. Offer the child a bedtime snack 2. Eliminate one of the naps during the day 3. Allow the child to sleep longer in the mornings 4. Maintain consistency in the same bedtime ritual