A 61-year-old patient recently had left-sided paralysis from a cerebrovascular accident (CVA;also known as stroke).In planning care for this patient,the nurse would do which of the following?

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Because edema moves to dependent body regions,assessment of the immobilized patient should include observation of the sacrum,legs,and feet.Unilateral increases in calf diameter can be an early indication of thrombosis.The patient who has suffered a CVA with left-sided paralysis may not be capable of an even gait.Having the patient hold his or her breath frequently is not an appropriate nursing intervention.To prevent stasis of pulmonary secretions,the patient's position should be changed every 2 hours,and fluid intake should be increased to 2000 mL,if not contraindicated.The patient should deep breathe and cough every 1 to 2 hours to promote chest expansion.Two-point crutch technique would not be appropriate for the patient with left-sided paralysis.The patient would be more likely to ambulate safely with a walker or a cane.If crutches are used,the patient should use a three-point support.

A 61-Year-Old Patient Recently Had Left-Sided Paralysis from a Cerebrovascular