(Solved): A 78-year-old frail man is admitted to a long-term care facility. Client has a history of dementia ...

A 78-year-old frail man is admitted to a long-term care facility. Client has a history of dementia and cerebrovascular accident with left-sided paralysis. The client has limited movement on the right side, is unable to move independently, and is bedridden. Client needs assistance with all activities of daily living. Client is confused as to person, place, time, and situation. Skin is warm and dry. Client has intact skin on coccyx and heel areas. Vital signs: temperature \( 97.3^{\circ} \mathrm{F}\left(36.3^{\circ} \mathrm{C}\right) \), pulse 95 beats/minute and irregular, respirations 22 breaths/minute and regular, blood pressure \( 112 / 68 \mathrm{mmHg} \), and oxygen oximetry on room air \( 95 \% \). Client has a do-not-resuscitate (DNR) order. The nurse reviews nurses' notes to prepare the individualized plan of care. Complete the diagram by dragging from the choices area to specify which musculoskeletal condition the client is most likely to experience, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.