The client was admitted with severe head injury resulting from a motor vehicle accident. The client is presently unconscious. To facilitate rehabilitation when the client’s condition allows, the nurse should
A. maintain limbs in the position of function.
B. apply restraints to arms and legs to control spasms.
C. exercise just the arms as the legs maintain their tone longer.
D. notify physical therapy as soon as the physician orders passive range of motion.
参考答案：A
解析：Maintaining the client’s limbs in the position of function decreases the likelihood of contractures. There’s no evidence that the client is experiencing spasms, and the nurse would exercise the arms and legs as long as injuries permit. The longer rehabilitation is delayed, the more difficult it is.