A 72-year-old woman is injured in a fall down a flight of steps at home and is placed on bedrest in the hospital. Select the interventions by the nurse for this client that best prevent the complications of immobility.
A)Limiting the fluid intake to 200 mL per shift to prevent dependent edema.
B)Giving the client a full-bed bath and feeding her all meals to reduce potential injury to fragile bones.
C)Massaging bony prominences and turning the client every 2 hours.
D)Ambulating the client to the bathroom instead of using the bedpan.

Question

Quizplus · Accepted Answer

Limiting fluid intake to 200 mL per shift would not prevent dependent edema, but would actually increase the risk of dehydration and kidney injury. Feeding the client all meals and performing a full bed bath would also not promote mobility or prevent complications of immobility. Ambulating the client to the bathroom may not be possible or safe. Massaging bony prominences and turning the client every 2 hours helps to prevent pressure ulcers and maintain skin integrity, which are common complications of immobility.

A 72-Year-Old Woman Is Injured in a Fall Down a Flight