The nurse is caring for a client following a craniectomy and left anterior fossae incision who has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness. Which of the following is an appropriate nursingintervention?
A)Position the bed flat and log roll the client.
B)Cluster nursing activities to allow longer rest periods.
C)Turn and reposition the client side to side every 2 hours.
D)Perform range-of-motion (ROM) exercises every 4 hours.

Question

Quizplus · Accepted Answer

ROM exercises will help to prevent the complications of immobility. Clients with anterior craniotomies are positioned with the head elevated. The client with a craniectomy should not be turned to the operative side. When the client is weak, clustering nursing activities may lead to more fatigue and weakness.

The Nurse Is Caring for a Client Following a Craniectomy