The client with hemiplegia is at risk for impaired walking. Which nursing intervention would best assist this client in preventing complications associated with lower extremity impairment?
A) Occupational therapy daily
B) Use of walker for ambulation
C) Use of high-top tennis shoes throughout the day
D) Whirlpool tub baths and massage therapy
C
Feedback:
Hemiplegic clients are at risk for the development of plantar flexion, which would impede ambulation. High-top tennis shoes act as splints, providing support to the ankle/foot, and prevent plantar flexion contractures by maintaining the extremity in proper anatomic position. Occupational therapy is an important factor in rehabilitation after a stroke but not significant in preventing complications with walking. Whirlpool tub baths and massage therapy are soothing and assist in reducing muscle tension but not significant in prevention of walking impairment. The client must have strength in both upper extremities to be able to use a walker safely.
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