Which nursing intervention promotes mobility for a patient who has been on bed rest for an extended period?
Encouraging the patient to remain in bed to conserve energy.
Assisting the patient with passive range of motion exercises.
Restricting the patient's movement to prevent falls.
Using restraints to ensure patient safety during ambulation.
The Correct Answer is B
Assisting the patient with passive range of motion exercises promotes joint mobility and prevents contractures and muscle atrophy when the patient is unable to move independently.
Incorrect choices: a. Encouraging the patient to remain in bed perpetuates immobility and can lead to further complications such as deconditioning and reduced muscle strength.
c. Restricting the patient's movement can worsen immobility-related complications and increase the risk of falls. Appropriate interventions should be implemented to facilitate safe mobility.
d. Restraints should be avoided as much as possible and only used as a last resort to ensure patient safety. Restraints do not promote mobility and can have negative physical and psychological effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Encouraging frequent ambulation and leg exercises helps prevent venous stasis and promotes blood flow, reducing the risk of venous thromboembolism (VTE) in immobile patients.
Incorrect choices:
b. Administering sedatives can increase the risk of VTE by promoting immobility and reducing leg movement. It is not an appropriate preventive measure.
c. Applying cold compresses to the lower extremities does not directly prevent VTE. Warm compresses may be used to promote circulation, but prevention strategies primarily focus on mobilization and blood flow promotion.
d. Limiting fluid intake does not directly prevent VTE. Adequate hydration should be maintained to promote circulation and prevent complications such as dehydration and urinary tract infections.
Correct Answer is B
Explanation
Patients who undergo surgery are at an increased risk for developing deep vein thrombosis (DVT) due to the immobility associated with the postoperative period.
Incorrect choices:
a. While hypertension is a risk factor for cardiovascular diseases, it does not increase the risk of DVT specifically.
c. Regular exercise is a protective factor against DVT, as it promotes circulation and venous return.
d. Diabetes is a risk factor for peripheral vascular disease, but it does not directly increase the risk of DVT.
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