Sophie, a nursing student develops a plan of care for a client with paraplegia who has risk for injury related to spasticity of the leg muscles. On reviewing the plan, the co-assigned nurse identifies which of the following as an incorrect intervention?
a. Use of padded restraints to immobilize the limb
b. Performing range of motion to the affected limbs
c. Removing potentially harmful objects near the spastic limbs
d. Use of prescribed muscle relaxants as needed
Answer A. Range-of-motion exercises are beneficial in stretching muscles, which may diminish spasticity.
Removing potentially harmful objects is a good safety measure.
Use of muscle relaxants also is indicated if the spasms cause discomfort to the client or pose a risk to the client’s safety.
Use of limb restraints will not alleviate spasticity and could harm the client.
a. Use of padded restraints to immobilize the limb
b. Performing range of motion to the affected limbs
c. Removing potentially harmful objects near the spastic limbs
d. Use of prescribed muscle relaxants as needed
Answer A. Range-of-motion exercises are beneficial in stretching muscles, which may diminish spasticity.
Removing potentially harmful objects is a good safety measure.
Use of muscle relaxants also is indicated if the spasms cause discomfort to the client or pose a risk to the client’s safety.
Use of limb restraints will not alleviate spasticity and could harm the client.
Labels
Effective Care Environment