Which of the following indicates that interventions provided to a client with neck injuries from a motor vehicle accident have been successful?
1. The client moves all four extremities independently, feeds self, and participates in partial bath.
2. The client is unable to move independently in bed.
3. The client's urine is clear and odorless from indwelling catheter.
4. The client is resting in bed with lights and television turned off.
1. The client moves all four extremities independently, feeds self, and participates in partial bath.
Rationale:
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 the client 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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