A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment? (Select all that apply.)

A) Foot drop: Foot drop is a common complication associated with impaired physical mobility. It occurs when the muscles responsible for lifting the front of the foot become weak or paralyzed, often due to prolonged immobility or neurological impairment. The nurse should monitor for this condition and implement preventive measures like using ankle-foot orthoses (AFOs) to support the foot in a neutral position and promote proper alignment.

B) Increased socialization: While it is important to encourage socialization and support mental health, increased socialization is not a complication associated with impaired mobility. In fact, patients with impaired mobility are more likely to experience social isolation, not increased socialization. Therefore, the nurse should focus on strategies to encourage social interaction to prevent feelings of loneliness and depression.

C) Somnolence: Somnolence, or excessive sleepiness, is not directly related to impaired physical mobility. While some patients with severe illness or conditions may experience somnolence, it is not a common complication of immobility. Instead, the nurse should focus on monitoring for complications like respiratory issues or skin breakdown.

D) Hypostatic pneumonia: Hypostatic pneumonia is a complication that can occur when a patient remains in a supine or immobile position for an extended period. The lack of movement and deep breathing can lead to pooled secretions in the lungs, which increases the risk of infection. The nurse should monitor for signs of respiratory distress and encourage frequent position changes, deep breathing, and coughing exercises to reduce the risk.

E) Impaired skin integrity: Impaired skin integrity is a major concern in patients with impaired mobility. Prolonged pressure on bony prominences due to immobility can lead to pressure ulcers (bedsores). The nurse should monitor the skin regularly, implement pressure-relieving devices, and reposition the patient frequently to prevent skin breakdown.

A) "I will place an area rug at the entry of my bathroom": This statement indicates a misunderstanding of safety guidelines. Rugs, especially if they are not properly secured, can pose a tripping hazard. It is recommended to avoid area rugs in high-risk areas like the bathroom to prevent falls.

B) "I will keep the fluorescent ceiling light on in my room at night": While adequate lighting is essential for fall prevention, leaving a bright fluorescent light on can lead to glare and difficulty with vision at night, potentially increasing the risk of a fall. A nightlight or low-level lighting near the bed or bathroom would be more appropriate.

C) "I will place a bath seat in my shower to use when I bathe": This statement indicates that the client understands the need for safety measures to prevent falls. Using a bath seat in the shower allows the client to sit while bathing, reducing the risk of slipping or losing balance, particularly if they are at risk for falls or have difficulty standing for long periods.

D) "I will keep my walker at the end of my bed": This action could be unsafe because the client might need to walk a distance to retrieve the walker when getting out of bed, which increases the risk of a fall. The walker should be kept within easy reach, such as near the bedside, to ensure it is available immediately when the client needs to get up.