When evaluating a plan of care, the nurse reviews the expected outcomes for the client. Which expected outcome is realistic for a client with a pelvic fracture on ordered bed rest?

A. Client will transfer self to the bedside commode by the end of shift: Clients on strict bed rest due to a pelvic fracture are restricted from weight-bearing activities, making independent transfers unsafe and unrealistic. Attempting such activity could risk further injury or displacement of the fracture. B. Client will use a walker to the bathroom by the end of the shift: Ambulation with a walker requires partial to full weight-bearing ability. For a patient on bed rest, this is not feasible and could lead to increased pain, bleeding, or fracture complications. C. Client will ambulate in the hallway two times by the end of the shift: Similar to option B, walking in the hallway is contraindicated for clients on strict bed rest. Early mobility may be part of the long-term plan after fracture stabilization, but it is not appropriate during immediate post-injury bed rest. D. Client will turn self in bed with assistance by the end of the shift: This outcome is realistic for a patient on bed rest. Turning with assistance prevents pressure injuries, promotes circulation, and maintains mobility within the restrictions of the fracture, aligning with both safety and therapeutic goals.