The nurse is caring for a client who has had a below-the-knee amputation and is positioned in bed with the affected knee on a pillow. To prevent hip and knee contractures, the nurse plans to do which of the following at least once a shift?
1. Place the client in the lateral position with a pillow between the legs once a shift for 30 minutes.
2. Place the client in the semi-Fowler's position without pillows under the knees to promote extension.
3. Place the client in the prone position once a shift for 30 minutes.
4. Place the client in the high Fowler's position to fully flex the hip.
3
Rationale: The client who is positioned most of the time with the hips and knees flexed should be placed in the prone position to extend the hips and knees and prevent contractures of these joints. The lateral position continues to flex the hip and knees, as do both of the Fowler's positions.
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