A nurse is caring for a patient diagnosed with osteoporosis and lactose intolerance. What intervention will the nurse implement

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) Water heater temperature 54.4°C (130°F):
A water heater temperature of 130°F is a safety risk for older adults. At this temperature, there is a higher risk of burns, especially for individuals who may have impaired sensitivity to heat. It is recommended to set the water heater temperature at 120°F to prevent accidental burns.

B) Bathtub with rails:
The presence of bathtub rails is a safety feature, not a risk. They help provide support and stability for older adults when entering or exiting the bathtub, reducing the risk of falls. This finding should not be considered a safety risk.

C) Raised toilet seats:
Raised toilet seats are beneficial for individuals with mobility limitations, as they provide extra height and make it easier for older adults to sit down and stand up. This modification can actually help prevent falls and should not be considered a safety risk.

D) Electric cords behind the furniture:
Electric cords placed behind furniture pose a tripping hazard, especially for older adults who may have impaired vision or mobility. These cords can be a safety risk as they increase the likelihood of falls. It is essential to ensure that cords are properly secured and not in pathways or areas where they can be tripped over.