A patient being treated for a traumatic brain injury is demonstrating signs of contractures as a complication associated with immobility. Which of these can the nurse implement to reduce these complications?
1. ensure oxygen saturation level of 92%
2. apply antiembolism stockings
3. turn and reposition every 4 hours
4. implement passive range of motion exercises
4
Rationale: To prevent contractures as a complication associated with immobility, the nurse should implement passive range of motion exercises. The patient's oxygen saturation should be maintained at 92% or higher however this will not prevent the complications associated with immobility. Applying antiembolism stockings will prevent the immobility complication of deep vein thrombosis development and not prevent contractures. The patient should be turned and repositioned every 2 hours to help prevent contractures.
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