A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?

A. While monitoring temperature can be important in assessing for infection or other complications post-surgery, it is not the priority assessment directly related to the administration of morphine. Temperature does not provide immediate information about the patient's respiratory status or opioid effects.
B. Monitoring the apical heart rate is important, especially in patients who may have cardiovascular issues or who are taking medications that can affect heart rate. However, it is not the most immediate concern when administering morphine, as the primary risk with opioids is respiratory depression rather than significant changes in heart rate.
C. Blood pressure is an important vital sign to assess, especially after surgery, but the risk of morphine primarily involves respiratory function. While changes in blood pressure can occur with opioid use, they are less critical compared to assessing the respiratory rate.
D. This is the correct priority assessment before administering morphine. Opioids like morphine can cause respiratory depression, which is a serious side effect. Monitoring the respiratory rate allows the nurse to identify any signs of respiratory distress or depression, ensuring that the patient is safe to receive the medication.

A. A fixed showerhead may not allow the client to effectively control the water flow or direction, which could limit their independence and ability to bathe safely. A handheld showerhead is generally more suitable as it enables the client to direct the water flow where needed.
B. A long-handled sponge allows the client to reach different parts of their body without requiring significant movement, making bathing easier and more manageable. It promotes independence and safety, especially for clients with limited mobility.
C. This temperature is too high and poses a risk of burns or scalding, especially for clients with spinal cord injuries who may have impaired sensation. The water temperature should be lower, typically around 37-40°C (98.6-104°F), to prevent injury.
D. While bar soap can be used, it may not be the best option for individuals with limited hand function or dexterity. Liquid soap or body wash may be easier to handle and use, promoting independence and reducing frustration.