The nurse is caring for a client with a large wound on her right hip. What nursing measure is the most essential for the client?
1. Keep the client from lying on her right side.
2. Turn the client from side to side every 2 hours.
3. Keep the client on continuous bed rest.
4. Keep the client upright in a chair for a minimum of 8 hours per 24-hour period.
Keep the client from lying on her right side.
Rationale: Keeping pressure off the right hip is the essential nursing measure because pressure will decrease blood flow to the area. Blood flow is needed to get oxygen and nutrients to the area in order to heal the wound. Turning the client from side to side is inappropriate because she would be lying on her wound, creating pressure that would diminish the blood supply. A right hip wound does not require complete bed rest or prolonged chair sitting.
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