Question

The nurse is developing a plan of care for a client with a spinal cord injury at C5 who has an indwelling urethral catheter. Which of the following would be a priority for the nurse to include in the plan of care?

Answer 1

And Priority Nursing Care * Maintaining a Patent airesay is the most important goal for a patient with a high cervical fracture. Although all of these are appropriate nursing diagnoses for a Pattent with a Spinal cord injures, respiratory needs are always the highest priority. Remember the ABCs.

Answer 2

Maintain airway is the  first priority to the question to the spinal injury at C5.   If Airway is not an option to the answers given to the question  then your next answer choice will be  to maintain the urinary collection bag in a dependent position.

Explanation: If Airway is not an option to the answers given to the question  then your next answer choice will be in refenrence to the nurse should monitor closely the  client indwelling catheter urinary collection to avoid vesicoureteral reflux. This can cause urinary tract infection and lead to kidney damage .