Author Question: A nurse is caring for an immobile patient. The most appropriate nursing intervention to implement ... (Read 28 times)

eruditmonkey@yahoo.com · **on:** Jul 22, 2018

A nurse is caring for an immobile patient. The most appropriate nursing intervention to implement is:

A. turning the patient every 4 hours.
B. applying an abdominal binder while the patient is lying in bed.
C. encouraging the use of incentive spirometry hourly.
D. maintaining the patient's maximum fluid intake of 1000 mL daily.

Question 2

A 2-year-old child in the pediatric unit resists going to sleep. To promote sleep the best action for the nurse to take includes:

A. eliminating a daytime nap.
B. offering the child a favorite bedtime snack.
C. maintaining the child's home bedtime routine.
D. allowing the child to sleep longer in the morning.

kaillie · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Patients need to be repositioned every 2 hours to reduce stagnation of secretions. An application of an abdominal binder will restrict chest expansion. Patients need a minimum of 2000 mL every day to adequately hydrate and keep pulmonary secretions thin, watery, and clear.

Answer to Question 2

C
Toddlers require naps. Some enjoy bedtime snacks, whereas others cannot sleep after eating. Maintain the child's home routine, which may include snacks, reading stories, sitting in the par-ent's lap while listening to music or prayer, or coloring in books.