A patient with a recent spinal cord injury has absent sensation over the sacrum and cannot feel discomfort from prolonged bed pressure. Which intervention is most important?
Correct answer: A. Reposition regularly and inspect the skin
- A. Reposition regularly and inspect the skin
- B. Apply a heating pad to the sacral area
- C. Massage reddened skin over bony areas
- D. Limit protein to reduce urine output
Explanation
Loss of sensation increases the risk of unnoticed pressure injury, so regular repositioning and frequent skin inspection are essential. Heat and massage can damage compromised tissue, while adequate nutrition supports skin integrity.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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