MEDizzy - The nurse on the rehabilitation unit is caring for the

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Spinal Cord Injury

The nurse on the rehabilitation unit is caring for the following clients with SCIs. Which client should the nurse assess first after receiving the change-of-shift report?

ExplanationThe gastrocnemius muscle is the calf muscle, and warmth, redness, and swelling in the muscles indicate the client has a deep vein thrombosis (DVT), which requires immediate intervention. A client with an L-2 SCI (option 3) would not experience autonomic dysreflexia. A client with a T-4 SCI (option 4) would not be expected to be able to move the lower extremities.