The Nurse Is Caring for a Client Following a Craniectomy

question 20

Multiple Choice

The nurse is caring for a client following a craniectomy and left anterior fossae incision who has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness. Which of the following is an appropriate nursingintervention?

• A)Position the bed flat and log roll the client.
• B)Cluster nursing activities to allow longer rest periods.
• C)Turn and reposition the client side to side every 2 hours.
• D)Perform range-of-motion (ROM) exercises every 4 hours.

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Definitions:

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