Which nursing intervention should the nurse include in the plan of care for a child who is sedated, unconscious, and on a mechanical ventilator?

1. Out-of-bed transfer to wheelchair
2. Whirlpool baths
3. Maintenance of intravenous (IV) hydration
4. Active range-of-motion (ROM) exercises


3
Explanation:
1. The child would not be permitted to be transferred to a wheelchair.
2. The child would not be permitted to be transferred to take whirlpool baths.
3. The child who is unconscious is unable to take anything by mouth, and will need IV therapy for hydration.
4. The nurse may perform passive ROM exercises on the child, but the child is incapable of doing active ROM exercises.

Nursing

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