After having a craniectomy and left anterior fossae incision, a 64-year-old patient has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weak-ness. An appropriate nursing intervention is to
a. cluster nursing activities to allow longer rest periods.
b. turn and reposition the patient side to side every 2 hours.
c. position the bed flat and log roll to reposi-tion the patient.
d. perform range-of-motion (ROM) exercises every 4 hours.
ANS: D
ROM exercises will help prevent the complications of immobility. Patients with anterior crani-otomies are positioned with the head elevated. The patient with a craniectomy should not be turned to the operative side. When the patient is weak, clustering nursing activities may lead to more fatigue and weakness.
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