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    Ngu Hesi Rn Compass Exit Proctored Exam

    A client with a spinal cord injury has urinary retention related to sensorimotor deficits. Which action should the nurse include in the client's plan of care (РOС)?

    Explanation & Rationale

    Rationales: A. Limiting oral fluids can lead to dehydration and concentrated urine, which increases the risk of urinary tract infections and bladder stones in clients with neurogenic bladder following spinal cord injury. Adequate hydration is essential for urinary health. B. Pelvic floor (Kegel) exercises are effective for clients with intact lower motor neuron function but are ineffective in spinal cord injury because voluntary control over bladder muscles is lost below the level of injury. C. Intermittent catheterization is the preferred method for managing neurogenic bladder after spinal cord injury. It prevents bladder overdistention, reduces infection risk compared to indwelling catheters, and promotes independence once the client learns self-catheterization. D. A bedside commode is ineffective for a client with urinary retention due to loss of bladder sensation and voluntary control. The bladder will not empty without catheterization or specific bladder management techniques.

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