After Having a Craniectomy and Left Anterior Fossae Incision, a Patient

question 5

Multiple Choice

After having a craniectomy and left anterior fossae incision, a patient has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness. An appropriate nursing intervention is to

• A) position the bed flat and log roll the patient.
• B) cluster nursing activities to allow longer rest periods.
• C) turn and reposition the patient side to side every 2 hours.
• D) perform range-of-motion (ROM) exercises every 4 hours.

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Definitions:

Transfer Device

An aid or piece of equipment designed to assist in moving a person from one position or location to another.

Stage III Pressure Ulcer

A type of injury to the skin and underlying tissue characterized by full-thickness skin loss that may expose some fat, but not muscle or bone.

Low-Air-Loss Therapy

A treatment method involving the use of specialized mattresses or supports that utilize airflow to reduce skin pressure and promote wound healing.

Dakin's Solution

An antiseptic solution containing sodium hypochlorite, used in wound care to kill bacteria and clean infections.