The newly admitted client has contractures of both lower extremities. What nursing intervention should be included in this client's plan of care?
1. Frequent position changes to reverse the contractures
2. Exercises to strengthen flexor muscles
3. Range of motion exercises to prevent worsening of contractures
4. Weight-bearing activities to stimulate joint relaxation
3. Range of motion exercises to prevent worsening of contractures.
Rationale:
Once contractures occur, they are irreversible except by surgical intervention. The best nursing intervention is to keep the contractures from getting tighter (or worse) by providing range of motion exercises. Frequent position changes will not reverse contractures, nor will weight-bearing activities. The contracture occurs because the flexor muscles are stronger than the extensor muscles. This imbalance in strength pulls the inactive joint into a flexed position, and a permanent shortening of the muscle occurs.
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