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    Ngu Hesi Rn Compass Exit Proctored Exam

    A client who sustained an L-1 spinal cord injury six months ago that resulted in paraplegia is now experiencing spastic muscle movements in the lower extremities. Which intervention should the nurse implement?

    Explanation & Rationale

    Rationale: A. Apply compression stockings: Compression stockings help prevent deep vein thrombosis in clients with limited mobility but do not address spasticity. While important for circulation, they are not effective for controlling involuntary muscle movements. B. Perform active range of motion exercises: Range of motion exercises maintain joint flexibility and prevent contractures, but they do not sufficiently manage spasticity, which is caused by upper motor neuron injury and requires targeted intervention. C. Massage the extremities twice a week: Massage may provide temporary relief or comfort but is insufficient to control the frequency or intensity of spastic muscle movements. Relying solely on massage would not adequately manage the condition. D. Give antispasmodic medications: Antispasmodic agents, such as baclofen or tizanidine, reduce muscle tone and control spasticity by acting on the central nervous system. Administering these medications directly addresses involuntary muscle contractions and improves functional mobility and comfort.

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