A client has decreased mobility.
What nursing intervention would be inappropriate to promote mobility?
Teach the client to do active range of motion (AROM) exercises every 2 hours.
Evaluate the client's need for ambulatory aids.
Keep skin clean and dry.
Encourage bed rest.
The Correct Answer is D
Encouraging bed rest would be an inappropriate nursing intervention to promote mobility for a client with decreased mobility.
Bed rest can lead to further complications of immobility1.
Choice A is not an answer because teaching the client to do active range of motion (AROM) exercises every 2 hours can help maintain joint mobility and muscle strength2.
Choice B is not an answer because evaluating the client’s need for ambulatory aids can help them move safely and independently1.
Choice C is not an answer because keeping skin clean and dry is important for preventing skin breakdown, which can be a complication of immobility1.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
To prevent poisoning of a child in the home, it is important to keep cleaning liquids and other potential poisons in a locked cabinet12.
This includes storing medicines, chemicals, and cleaners up high in a locked cupboard and in their original containers1.
Choice A is incorrect because it focuses on prescription medications and not on preventing the poisoning of a child in the home.
Choice C is incorrect because it focuses on taking medications correctly and not on preventing the poisoning of a child in the home.
Choice D is incorrect because storing medications in a visible and accessible place could increase the risk of poisoning if a child were to access them.
Correct Answer is D
Explanation
The best intervention by the nurse to prevent further skin and tissue breakdown on a reddened area on a client’s right heel is to relieve pressure from the right heel1.
Heels are particularly vulnerable to skin breakdown and when patients lie supine, all of the pressure of their lower legs and feet rest on the heels1.
Preventing heel ulcers primarily involves the use of simple devices, like pillows and offloading devices, to protect delicate heels1.
Choice A is not correct because documenting the reddened area alone will not prevent further skin and tissue breakdown.
Choice B is not correct because asking the client how the area became reddened alone will not prevent further skin and tissue breakdown.
Choice C is not correct because assessing the client’s diet alone will not prevent further skin and tissue breakdown.
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