PN Adult Medical Surgical Practice Exam

Which of the following interventions should be avoided when caring for a client with fractured ribs?

1. Encouraging deep breathing exercises

2. Providing adequate pain management

3. Restricting mobility

4. Monitoring for respiratory complications

The correct answer is: Restricting mobility

Clients with fractured ribs must be approached with care to prevent complications, especially concerning respiratory function. Restricting mobility is the intervention that should be avoided because it can have negative consequences on the patient’s overall recovery and respiratory health. Although it’s important to limit certain movements that could exacerbate the pain or injury, complete restriction of mobility can lead to complications such as atelectasis, pneumonia, or a decline in physical condition. Encouraging gentle movements, as tolerated, helps maintain lung function and improves ventilation, which is vital for preventing respiratory issues. Encouraging deep breathing exercises, providing adequate pain management, and monitoring for respiratory complications are essential components of care for a client with rib fractures. Deep breathing exercises help expand the lungs and prevent complications, while effective pain management allows patients to take deep breaths and cough as needed. Similarly, monitoring for respiratory complications ensures prompt intervention if issues arise, which is crucial for a patient with rib injuries due to the risk of compromised lung function.