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    Ati nurs 528 med surg proctored exam (geatrics)

    An older client who was recently admitted to the subacute setting after having a knee replacement is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?

    Explanation & Rationale

    A. Using a Hoyer lift in this situation is not appropriate because early mobilization after knee replacement is critical for recovery. Passive transfer without joint movement prevents proper rehabilitation and increases the risk of stiffness and thromboembolic complications. B. Explaining the importance of mobility is helpful, but delaying pain management may cause unnecessary distress. Anxiety and fear of pain can be reduced by providing analgesia before movement rather than only discussing it. C. Administering prescribed pain medication prior to mobilization helps control discomfort and promotes cooperation with physical activity. Waiting for the medication to take effect allows safer and more effective participation in early ambulation, which is vital for healing and preventing complications such as deep vein thrombosis. D. Prolonged bed rest following knee surgery delays recovery and increases the risk of muscle weakness, contractures, and circulatory issues. Encouraging mobility as soon as pain is managed supports better outcomes and faster rehabilitation.

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