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The Nurse Is Planning Care for a Client Admitted with a High

Question 35

Multiple Choice

The nurse is planning care for a client admitted with a high thoracic spinal cord injury.Which interventions would be appropriate for the nursing diagnosis of Alteration in Perfusion? Select all that apply.


A) Discuss future care needs when discharged.
B) Increase fluids to 3,000 mL per day.
C) Turn and reposition every 2 hours.
D) Assess for a full bladder.
E) Assess blood pressure every 2-3 minutes.

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