A 55-year-old male client was admitted to Chamberlain Health Care (CHC) 3 weeks ago…

A 55-year-old male client was admitted to Chamberlain Health Care (CHC) 3 weeks ago following a motor vehicle accident that resulted in a traumatic brain injury (TBI), T1-3 spinal cord injury (SCI), and a severed popliteal artery causing left above-the-knee amputation. Upon admission, the client had emergency surgery to remove hematomas and repair skull and vertebral fractures, as well as a right temporal decompressive craniectomy. Taking Action For each body system, choose the specific nursing intervention that would be appropriate for client care. Assess emotional response to limitationsEvaluate for the presence of pain and changes in joint mobilityMonitor nutritional intake and document intake and outputMonitor skin integrity and signs of inflammation and infectionTeach client how to meet personal hygiene needs1Assess emotional response to limitationsEvaluate for the presence of pain and changes in joint mobilityMonitor nutritional intake and document intake and outputMonitor skin integrity and signs of inflammation and infectionTeach client how to meet personal hygiene needs2Assess emotional response to limitationsEvaluate for the presence of pain and changes in joint mobilityMonitor nutritional intake and document intake and outputMonitor skin integrity and signs of inflammation and infectionTeach client how to meet personal hygiene needs3Assess emotional response to limitationsEvaluate for the presence of pain and changes in joint mobilityMonitor nutritional intake and document intake and outputMonitor skin integrity and signs of inflammation and infectionTeach client how to meet personal hygiene needs4Assess emotional response to limitationsEvaluate for the presence of pain and changes in joint mobilityMonitor nutritional intake and document intake and outputMonitor skin integrity and signs of inflammation and infectionTeach client how to meet personal hygiene needs5