The nurse is caring for an unconscious client on a Rotokinetic bed and instructs the client's family about the client's therapy. Which does the nurse include in family teaching?
1. Client watches the bed tilting to prevent sensory distress.
2. The bed repositions the client to an upright sitting position.
3. The bed moves the client from a prone to a supine position.
4. The bed tilts an immobilized client from side to side gently.
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4. The nurse instructs the family to expect the Rotokinetic bed to tilt the client from side to side gently every 7 minutes to maintain skeletal alignment, maintain skin in-tegrity, and stimulate normal body function.
1. Anecdotal evidence supports the claim that client sensory distress is preventable by watching the motion to match visual cues to inner ear sensations. Nonetheless, some clients feel sensory distress, including a limited visual field and inner ear dise-quilibrium, resulting in confusion, disorientation, and sensory distortion and misin-terpretation. The nurse helps the client adjust to continuous motion by tapering doses of antihistamines, antianxiety agents, and antiemetics.
2 and 3. Rotokinetic beds are incapable of upright positioning or rotating the client 180 degrees; the nurse avoids sharing this information with the client.
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