The nurse assesses patients to determine their risk for healthcare acquired infections. Which hospitalized patient would the nurse consider most at risk for developing this type of infection?

A. Move the client's limbs through their complete range of motion: This action describes passive range-of-motion exercises, where the nurse assists the client in moving their limbs. While this is beneficial for clients who cannot move independently, it does not align with the plan for isometric exercises, which focus on muscle contraction without joint movement.

B. Have the client move each limb independently through its complete range of motion: This describes active range-of-motion exercises, which involve the client actively moving their limbs. Although these exercises are important for maintaining joint flexibility and preventing stiffness, they are not isometric exercises, which are intended to be performed without changing the length of the muscle.

C. Ask the client to move her arms and legs while applying slight resistance: This action combines movement with resistance training, which is not consistent with isometric exercises. Isometric exercises focus solely on muscle contraction without joint movement or changing muscle length, making this option inappropriate for the prescribed plan of care.

D. Instruct the client to tighten muscle groups for a short period, and then relax: This accurately describes isometric exercises, where the client contracts specific muscle groups (e.g., arms, legs, abdomen) without moving the joints. These exercises help maintain muscle strength and prevent atrophy while the client is on bedrest. The nurse should guide the client to perform these contractions for a few seconds, followed by relaxation, as directed by the plan of care.

A. "I will keep my walker at the end of my bed.": Storing a walker at the end of the bed may not be the safest option. The walker should be kept within easy reach to ensure the client can access it promptly when getting up, reducing the risk of falls.

B. "I will place an area rug at the entry of my bathroom.": Placing an area rug in a high-traffic area like the bathroom can create a tripping hazard, increasing the risk of falls. It is important to keep walking paths clear and free from obstacles to ensure safety.

C. "I will keep the fluorescent ceiling light in my room at night.": While having adequate lighting is important, keeping the light on at night may not address the need for easy access to light sources. The client should consider using nightlights or ensuring that light switches are easily accessible to avoid navigating in the dark.

D. "I will place a bath seat in my shower to use when I bathe.": This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower. This reflects the client's awareness of their needs related to fall prevention.