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The nurse is working to increase the functional ability of a client who is bedbound. Which assistive technique should the nurse prioritize in the plan of care?

A. Trapeze bar
B. Pull sheets
C. Log rolling
D. Trochanter rolls

Answer :

Final answer:

The trapeze bar should be prioritized in the care plan for a bedbound client to enhance functional ability by promoting patient engagement in movement. Other options, while useful in specific contexts, do not support independence as effectively. The trapeze bar enables patients to reposition themselves, fostering strength and autonomy.


Explanation:

Increasing Functional Ability in Bedbound Clients

When working with a client who is bedbound, one of the primary goals for the nursing care plan is to enhance the client's functional ability. In this context, using a trapeze bar is a highly recommended assistive technique. A trapeze bar allows patients to reposition themselves, aiding in muscle strength and promoting independence.

Here’s a brief description of the assistive techniques in consideration:

  1. Trapeze bar: This device is hung above the patient's bed and helps them to pull themselves up or reposition, thus supporting functional movement.
  2. Pull sheets: While useful for repositioning the patient, they do not necessarily encourage the patient to engage their own muscles.
  3. Log rolling: Primarily used for maintaining spinal alignment during movement, not directly enhancing functional ability.
  4. Trochanter rolls: These are used to prevent external rotation of the hips but also do not promote patient engagement.

Focusing on the trapeze bar in the nursing care plan enables patients to actively participate in their own movement, which is integral to their recovery and quality of life.


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