After the dressing change, the client needs to be positioned in bed. Which of the following measures would be inappropriate nursing care for reducing contractures?

1. Placing a pillow under the knee of a client with burns on the posterior legs.
2. Splinting the affected extremity in a functional position.
3. Daily physical therapy and range-of-motion exercises.
4. Hyperextending the neck of a client with burns of the anterior chest and neck.


Placing a pillow under the knee of a client with burns on the posterior legs.

Rationale: The correct position for the legs is to be hyperextended. Placing a pillow under the legs would promote contracture formation. Splinting and daily physical therapy are indicated for preventing contracture formation. Hyperextending the neck of a client with burns of the anterior chest and neck will help decrease contracture formation.

Nursing

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