A client is admitted to the hospital with right-sided hemiplegia as a result of a stroke. To help prevent contractures, the nurse should employ which of the following interventions? (Select all that apply.)
A) Give the client a ball to hold to keep fingers in the flexed position.
B) Perform passive ROM to affected limbs at least twice a day after the first 24 hours.
C) Support a completely flaccid arm with pillows when in bed or in a chair.
D) Try placing the client in the prone position for 15-30 minutes at a time.
E) Use high-top tennis shoes or orthotics while in bed to prevent footdrop.

Question

Quizplus · Accepted Answer

There are several interventions for the client to prevent contractures, including performing passive ROM, supporting a completely flaccid arm to prevent frozen shoulder, positioning the client in the prone position, if tolerated, to hyperextend the hip joints, and preventing footdrop by using high-top tennis shoes or orthotics. Giving the client a ball to squeeze actually promotes flexion when extension is needed.

A Client Is Admitted to the Hospital with Right-Sided Hemiplegia