A client recovering from surgery to repair a fractured hip is being positioned in bed to prevent contractures. The nurse recognizes that the type of contracture that develops most frequently after a hip fracture is:
1. Internal rotation with abduction
2. External rotation with abduction
3. Flexion and adduction of the hip with flexion of the knee
4. Hyperextension of the knee joint with foot drop deformity
3. Flexion and adduction of the hip with flexion of the knee
Rationale: This type of contracture frequently occurs when the client lies in bed with knees bent and thighs not abducted. Internal or external rotation with abduction does not reflect types of contractures. Foot drop is a problem for all clients confined to bed; hyperextension of the knee is not normally possible.
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