A nurse is caring for a client who had a stroke. The client is lying in a supine position and is unable to reach the foot board. What should the nurse do to prevent foot drop in the client?
A) Use an adjustable bed.
B) Use a water mattress.
C) Give a foot massage.
D) Use a foot splint.
D
Feedback:
If the client is unable to reach the foot board, a foot splint is used. A foot splint allows more variety in body positioning while maintaining the foot in a functional position. If a foot splint or foot board is not available, the nurse can use a pillow and a large sheet. Giving a foot massage or using an adjustable bed or water mattress will not prevent foot drop.
You might also like to view...
A nurse is teaching a group of nursing students about the different formulations of be-ta2-adrenergic agonist medications. Which statement by a student indicates understanding of the teaching?
a. "Beta2-adrenergic agonists provide quick relief via any formulation." b. "Long-acting beta2 agonists may be used alone to prevent attacks." c. "Short-acting beta2 agonists are usually given by nebulizer." d. "Oral beta2 agonists are not useful for short-term treatment."
The nurse should instruct the patient who is started on verapamil (Calan) for his elevated blood pressure to monitor his:
1. urine output. 2. pulse. 3. stool for blood. 4. edema.
Postoperative teaching for the client who has undergone carpal tunnel surgery will include:
a. teaching the client to keep the affected arm in a sling with zero movement b. instructing the client on exercises that pro-mote twisting and turning of the wrist c. encouraging the client to perform repetitive hand movements to rehabilitate the affected area d. teaching the client the purpose of the wrist brace, duration of use, and range of motion exercises
Assessment of an older adult diagnosed with dementia with Lewy bodies reveals that the client is receiving psychiatric medications. The client states, "I get dizzy periodically and have trouble walking." Which of the following should the nurse d
A) Assess for development of orthostatic hypotension. B) Instruct the client to stop taking the psychiatric medications. C) Interview the client's family about the client's coping skills and current stress level. D) Suggest the client periodically use an alcohol-based mouthwash several times a day.