Final Answer:
Repositioning the patient side to side every 2 hours is a crucial nursing intervention to address impaired physical mobility following a craniectomy and left anterior fossae incision in a 64-year-old patient. b. Turn and reposition the patient side to side every 2 hours.
Step-by-step explanation:
This intervention helps prevent complications such as pressure ulcers and joint contractures that can arise from prolonged immobility. The two-hour interval aligns with the typical duration recommended to prevent skin breakdown and maintain joint flexibility. By turning and repositioning the patient, nurses facilitate blood circulation, alleviate pressure on specific areas, and promote overall physical well-being.
In contrast, other options may not be as effective or could potentially exacerbate the patient's condition. Clustering nursing activities to allow longer rest periods (option a) may contribute to prolonged immobility, increasing the risk of complications. Positioning the bed flat and log rolling to reposition the patient (option c) may be too strenuous and could compromise the patient's stability, especially considering the decreased level of consciousness. Performing range-of-motion (ROM) exercises every 4 hours (option d) might not provide sufficient frequency to prevent immobility-related complications adequately.
In conclusion, the choice of turning and repositioning the patient every 2 hours is evidence-based and aligns with best practices in nursing care for individuals with impaired physical mobility. This intervention promotes optimal patient outcomes by addressing the specific challenges associated with decreased level of consciousness and weakness following a craniectomy and left anterior fossae incision. b. Turn and reposition the patient side to side every 2 hours.