The nursing assistant is caring for a client diagnosed with a stroke with severe right-sided hemiplegia. What is the best action for the nursing assistant to take?

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The nursing assistant (NA)'s best action is to observe for skin breakdown on the paralyzed right side of the client's body. The client with severe hemiplegia (one-sided paralysis) cannot move or feel sensations, so the client does not feel discomfort after lying in one position for too long. The NA must be careful when repositioning the client to use proper body alignment and pillow supports to prevent the client lying incorrectly, leading to a decrease in circulation to the skin and tissues. The NA should support limbs when repositioning the client to prevent damage to the joints. Massaging the skin over the paralyzed areas will not help feeling to return. The client needs help moving because of being paralyzed on one side of their body. It is inappropriate for the NA to explain that the client needs to move on their own.

The Nursing Assistant Is Caring for a Client Diagnosed with a Stroke