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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Remaining attentive but silent is an appropriate response by the nurse.
This allows the client to express their feelings and concerns without interruption or judgment.
It also shows the client that the nurse is actively listening and interested in what they have to say.
Choice A is not an appropriate response because placing a client on a 72-hour hold should only be done if the client is a danger to themselves or others.
Choice C is not an appropriate response because leaving the room immediately would be unprofessional and could make the client feel abandoned.
Choice D is not an appropriate response because telling the client that everything will be fine may not be true and could give false hope.
Correct Answer is C
Explanation
Working.
The working phase of the therapeutic relationship is when the nurse and client work together to develop and implement strategies to achieve the client’s goals.
In this case, the goal is to reduce weight, so the nurse and client are working on strategies to achieve that goal.
Choice A is not an answer because the pre-interaction phase occurs before the nurse and client meet and involves the nurse preparing for the first interaction with the client.
Choice B is not an answer because the orientation phase is when the nurse and client get to know each other and establish trust and rapport.
Choice D is not an answer because the termination phase occurs when the therapeutic relationship ends and involves evaluating progress and planning for future care.
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