Final answer:
The nurse's best intervention is to encourage the patient to ambulate with assistance, as early mobilization is essential for the patient's recovery and prevention of postoperative complications. Documenting the lack of mobilization and managing pain are also important but should supplement the active intervention of aiding the patient's movement.
Step-by-step explanation:
The best intervention for a male client, 30 years of age, who is postoperative day 2 following a nephrectomy and has not yet mobilized or dangled at the bedside is a) Encourage the client to ambulate with assistance. Early mobilization after surgery is crucial for promoting circulation, decreasing the risk of blood clots, and improving respiratory function. The surgeon, nurse, and anesthesia professional prioritize the recovery and care of the patient, and as part of this, mobilization is emphasized unless contraindicated. After a nephrectomy, provided there are no specific contraindications from the surgical team, the nursing intervention should include encouraging and assisting the patient to move, with safety precautions in place, since it promotes recovery and minimizes complications such as atelectasis, pneumonia, and deep vein thrombosis.
While documenting the client's lack of mobilization is important (d) Document the lack of mobilization in the client's chart), it is not an active intervention. Administration of pain medication (b) Administer pain medication and encourage rest) and notifying the healthcare provider (c) Notify the healthcare provider immediately) could be necessary steps, but they should be considered as parts of comprehensive care that includes mobilization. In this scenario, rest is needed but should be balanced with mobilization efforts. Notification of the healthcare provider should occur if there is a specific concern or complication impeding the patient's ability to mobilize.