The nurse is caring for a patient who sustained multiple fractures and a spinal injury from a motor vehicle accident. Which nursing intervention is most important when caring for this patient on bedrest?


• Bedrest increases the risk of developing pressure ulcers. To reduce this risk, the nurse should reposition the patient every two hours, provide a low-air-loss mattress, and promote the use of a trapeze. Frequent repositioning will also help reduce the risk of developing atelectasis in this patient when laying flat

• Elevating the head of bed may increase shear and friction and is contraindicated for spinal precautions after a spinal injury

• Promoting independence will prepare the patient for discharge

• Fluid intake should be increased to reduce the risk of renal calculi formation

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