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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Offering fluids at room temperature can enhance the patient's comfort and promote adequate hydration in immobile patients.

Incorrect choices:

b. Limiting fluid intake to prevent incontinence is not appropriate as it can lead to dehydration. Adequate hydration should be maintained, and measures to manage incontinence should be implemented separately.

c. Providing a straw for easier drinking can facilitate fluid intake, but it may not be suitable for all patients or situations. Individualized assessment and patient preference should be considered.

d. Continuous intravenous fluids may not be necessary for all immobile patients and should be based on specific indications determined by the healthcare provider. Oral intake should be encouraged unless contraindicated.

A. Placing the patient in a prone position for extended periods. B. Elevating the head of the bed to 90 degrees. C. Supporting bony prominences with pillows or foam pads. D. Encouraging the patient to sit in a chair for long periods.

Correct Answer is C

Explanation

Supporting bony prominences with pillows or foam pads helps distribute pressure and reduces the risk of pressure ulcers in patients with limited mobility.

Incorrect choices:

a. Placing the patient in a prone position for extended periods increases the risk of pressure ulcers, especially on the anterior aspects of the body.

b. Elevating the head of the bed to 90 degrees can lead to shearing forces and increase the risk of pressure ulcers.

d. Encouraging the patient to sit in a chair for long periods without adequate repositioning can also increase the risk of pressure ulcers.

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Which nursing intervention promotes mobility for a patient who has been on bed rest for an extended period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention should the nurse implement to maintain adequate hydration in an immobile patient?

Correct Answer is A

Explanation

Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?

Correct Answer is C

Explanation

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Which nursing intervention promotes mobility for a patient who has been on bed rest for an extended period?