NR 324 Week 7 Altered Mobility

Name

Chamberlain University

NR-324 Adult Health I

Prof. Name

Date

Altered Mobility Nursing Care

Nursing Intervention – Recognizing Cues

In the case of a client who has sustained a right leg injury while playing basketball, the nurse must identify symptoms indicative of a bone injury. Key symptoms consistent with such an injury may include deformity of the injured extremity, ecchymosis surrounding the injury site, an inability to bear weight, and the presence of acute pain. Symptoms that do not typically indicate a bone injury include a capillary refill time of less than three seconds and the presence of a fever.

Recognizing Cues – Altered Mobility
For a client suffering from nerve impingement around the L4 and L5 vertebrae, the nurse should be aware of symptoms indicative of nerve injury. These may include paresthesia, acute pain, and paralysis above the injury site. The presence of erythema at the injury site and deformity are less common indicators of nerve damage.

Nursing Intervention – Altered Mobility and Lifestyle

When preparing a discharge plan for a client recovering from a left tibial fracture, the nurse should emphasize lifestyle changes that could facilitate healing. Recommendations include stopping smoking, maintaining adequate dietary protein intake, and engaging in prescribed exercises. However, the nurse should discourage complete inactivity, even if the fracture is protected.

Nursing Assessment of Risk – Altered Mobility

In managing a client with a femur fracture on bed rest, the nurse must prioritize actions based on healthcare provider prescriptions to prevent complications. Urgent actions include initiating fall precautions, applying a sequential compression device, and administering antibiotics as prescribed. A referral for physical therapy may also be necessary.

Self-Check: Nursing Actions – Hematologic Alterations

When reviewing nursing actions for altered mobility, nurses must select the appropriate nursing diagnosis that aligns with their interventions. Evaluating patient outcomes is crucial to ensure that nursing interventions are effective.

References

American Nurses Association. (2020). Nursing: Scope and standards of practice. Nursebooks.org.

Centers for Disease Control and Prevention. (2022). Physical activity basics. https://www.cdc.gov/physicalactivity/basics/index.htm

National Institute of Health. (2023). Osteoarthritis. https://www.niams.nih.gov/health-topics/osteoarthritis

NR 324 Week 7 Altered Mobility

National Library of Medicine. (2022). Rheumatoid arthritis. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274016/