Which interventions should the nurse include in the plan of care for an adolescent client who is on complete bed rest after spinal fusion surgery secondary to scoliosis to prevent complications associated with immobility? Select all that apply

Question

1. Encouraging use of the spirometer every 2 hours while the child is awake
2. Log-rolling the client every 2 hours while awake
3. Increasing intake of milk to maintain bone calcium
4. Increasing fruit and grains in the diet
5. Limiting fluid intake to reduce the need to void

Answer 1

1, 2, 4
Explanation:
1. Respiratory complications are a common complication of immobility.
2. Turning the client frequently will reduce pressure on bony prominences.
3. Calcium will be pulled from the bones due to immobility. Adding additional calcium in the form of milk will increase the risk of kidney stones.
4. Fruit and grains will provide extra fiber to reduce the risk of complication.
5. Fluid intake should be increased to "flush" the kidneys.