A patient has had an ischemic stroke and has been admitted to the medical unit. What action should the nurse perform to best prevent joint deformities?
A) Place the patient in the prone position for 30 minutes/day.
B) Assist the patient in acutely flexing the thigh to promote movement.
C) Place a pillow in the axilla when there is limited external rotation.
D) Place patient's hand in pronation.
Ans: C
Feedback:
A pillow in the axilla prevents adduction of the affected shoulder and keeps the arm away from the chest. The prone position with a pillow under the pelvis, not flat, promotes hyperextension of the hip joints, essential for normal gait. To promote venous return and prevent edema, the upper thigh should not be flexed acutely. The hand is placed in slight supination, not pronation, which is its most functional position.
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