The nurse caring for a patient in a body cast knows that immobility can cause contractures, loss of muscle tone, or fixation of joints. Which of the following nursing interdisciplinary interventions are recommended to help prevent these adverse conditions?
a) Encourage child to stifle cough and take shallow breaths to prevent ineffective breathing patterns.
b) Give the patient large, frequent meals with decreased fiber and increased protein and Vitamin C.
c) Encourage active and passive range-of-motion activities to prevent ineffective tissue perfusion.
d) Check for a normal capillary refill of 3 to 5 seconds on a daily basis to ensure there in adequate arterial supply.
Answer: c)Encourage active and passive range-of-motion activities to prevent ineffective tissue perfusion.
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