A patient with spasticity of the upper extremity after a stroke asks why a sling is not used to support the arm. Which of the following should the nurse respond to this patient with?
1. the use of a sling will reinforce the spasticity and may promote a contracture
2. a sling will alter your center of balance when standing
3. you will not be able to participate in therapy with the arm in a sling
4. the presence of a sling will make dressing difficult
1
Rationale: Slings limit activity and assist in forming a contracture of the shoulder that will hinder the patient's ability to participate in activities of daily living during and after recovery. Slings will also reinforce muscle spasticity. This is the response that the nurse should make to the patient. Slings do not alter the center of balance and the sling can be removed if the patient needs to participate in therapy. Slings can also be removed when dressing. The last three choices are incorrect responses and should not be made to the patient.
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