A comatose client is being positioned supine. What should be done to maintain the functional alignment of this client's hands?
1. Externally rotate the arms
2. Cross the arms over the chest
3. Elevate the upper arms on pillows
4. Place a rolled washcloth in each hand
4
Rationale 1: Rotating the arms will not preserve hand functioning.
Rationale 2: Crossing the arms over the chest will not preserve hand functioning.
Rationale 3: Elevating the upper arms on pillows will not preserve hand functioning.
Rationale 4: Hand rolls made from folded washcloths rolled into a cone shape may be used to position and maintain wrist and fingers in a functional position. The purpose is to prevent deformity and contractures.
Global Rationale: Hand rolls made from folded washcloths rolled into a cone shape may be used to position and maintain wrist and fingers in a functional position. The purpose is to prevent deformity and contractures. Rotating the arms, crossing the arms over the chest, or elevating the upper arms on pillows will not preserve hand functioning.
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