The nurse knows which of the following interventions listed below would be inappropriate for a client unable to bear weight following bilateral hip surgery?
A)
Administer heparin as ordered to prevent deep vein thrombosis.
B)
Ensure a minimum of sensory distractions.
C)
Assess the safety of the client's environment regularly.
D)
Reposition the client every 2 hours.
Ans:
B
Feedback:
Immobilized clients need sensory stimulation and diversion, not sensory deprivation. DVT prophylaxis, safety assessments, and repositioning would all be components of sound care for an immobilized client.
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