Evolve HESI Practice Exam

Which nursing measure is essential for the care of an elderly client on strict bedrest with a fractured left hip?

1. Change the bedding frequently.

2. Gently lift the client when moving into a desired position.

3. Encourage the client to get up and walk.

4. Restrict fluid intake to reduce frequent bathroom trips.

The correct answer is: Gently lift the client when moving into a desired position.

The essential nursing measure for the care of an elderly client on strict bedrest with a fractured left hip is to gently lift the client when moving into a desired position. This approach is vital not only to prevent further injury to the hip fracture but also to avoid causing pain and discomfort to the client. Gentle lifting allows for minimal strain on the hip joint and promotes safety during maneuvering, which is especially important in elderly clients who may have fragile bones and diminished mobility. Proper techniques in turning and repositioning help maintain the client's overall comfort and ensure that alignment is upheld, preventing complications such as pressure ulcers. Additionally, gentle handling supports the client's dignity and trust in their caregivers, which is crucial when a patient is experiencing significant physical limitations. In contrast, options like changing the bedding frequently, while important for hygiene, do not directly address the critical aspect of safely positioning the client. Encouraging the client to walk contradicts the strict bedrest requirement and could lead to falls or further injury. Restricting fluid intake to reduce bathroom trips can negatively impact the client's hydration status and lead to other complications such as urinary tract infections or kidney issues. Therefore, the emphasis on gentle lifting when repositioning ensures optimal care practices tailored to the needs of an elderly client with specific injuries