A client has decreased mobility.
What nursing intervention would be inappropriate to promote mobility?
A.
Teach the client to do active range of motion (AROM) exercises every 2 hours.
B.
Evaluate the client’s need for ambulatory aids.
C.
Keep skin clean and dry.
D.
Encourage bed rest.
The correct answer and Explanation is :
The inappropriate nursing intervention to promote mobility in a client with decreased mobility is:
D. Encourage bed rest.
Explanation:
Encouraging bed rest is generally counterproductive when it comes to promoting mobility. While there are instances where limited bed rest might be necessary, such as in the acute phase of certain illnesses or injuries, prolonged bed rest can lead to a range of negative outcomes, including muscle atrophy, joint contractures, pressure ulcers, and decreased cardiovascular function. For a client with decreased mobility, the goal is often to prevent complications related to immobility and to promote as much independent movement as possible, within the client’s limits.
Here’s a brief overview of why the other interventions are appropriate:
A. Teach the client to do active range of motion (AROM) exercises every 2 hours.
Active range of motion exercises help maintain joint flexibility and muscle strength. By encouraging the client to perform these exercises regularly, you can prevent the complications associated with immobility and support the client’s overall mobility. AROM exercises also help in stimulating circulation and enhancing physical function.
B. Evaluate the client’s need for ambulatory aids.
Assessing the need for ambulatory aids (like walkers, canes, or crutches) is crucial for ensuring the client’s safety and promoting their mobility. These aids can provide support and stability, helping the client move around more effectively and safely.
C. Keep skin clean and dry.
Maintaining skin integrity is essential, especially in clients with decreased mobility, as they are at higher risk for pressure ulcers due to prolonged periods of immobility. Keeping the skin clean and dry helps prevent skin breakdown and infections, which can further hinder mobility.
Overall, the emphasis should be on interventions that support and enhance mobility, while also addressing any complications or risks associated with decreased mobility. Encouraging prolonged bed rest contradicts this goal and can exacerbate mobility issues.