A client is admitted to the hospital with right-sided hemiplegia as a result of a stroke. To help prevent contractures, the nurse should employ which of the following interventions? (Select all that apply.)
a. Give the client a ball to hold to keep fingers in the flexed position.
b. Perform passive ROM to affected limbs at least twice a day after the first 24 hours.
c. Support a completely flaccid arm with pillows when in bed or in a chair.
d. Try placing the client in the prone position for 15-30 minutes at a time.
e. Use high-top tennis shoes or orthotics while in bed to prevent footdrop.
B, C, D, E
There are several interventions for the client to prevent contractures, including performing passive ROM, supporting a completely flaccid arm to prevent frozen shoulder, positioning the client in the prone position, if tolerated, to hyperextend the hip joints, and preventing footdrop by using high-top tennis shoes or orthotics. Giving the client a ball to squeeze actually promotes flexion when extension is needed.
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