The nurse caring for a child who is sedated,unconscious,and on a mechanical ventilator can expect to include which of the following nursing interventions in the nursing care plan?
1. Active range of motion (ROM) exercises
2. Maintenance of intravenous (IV) hydration
3. Out-of-bed transfer to wheelchair
4. Whirlpool baths
Answer:2
Rationale: The child who is unconscious is unable to take anything by mouth and thus will need IV therapy for hydration. The nurse may perform passive ROM exercises on the child,but the child is incapable of doing active ROM exercises. The child would not be permitted to be transferred to a wheelchair nor take whirlpool baths.
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