A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?
Sequential compression device
Abduction splint.
Ankle-foot orthotic.
Continuous passive motion machine.
The Correct Answer is C
An ankle-foot orthotic can help prevent a plantar flexion contracture of the affected extremity in a client who has right-sided paralysis following a cerebrovascular accident. This device can help maintain the foot and ankle in a neutral position and prevent the development of a contracture.
a. A sequential compression device is used to prevent deep vein thrombosis and is not specifically designed to prevent contractures.
b. An abduction splint is used to maintain the hip in a neutral position and is not specifically designed to prevent contractures of the foot and ankle.
d. A continuous passive motion machine is used to promote joint mobility and is not specifically designed to prevent contractures of the foot and ankle.
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Correct Answer is C
Explanation
When using a two-wheeled walker, the client should stand with their elbows slightly flexed while holding the walker. This allows for proper posture and support while using the walker.
Option a is incorrect because stooping forward can cause strain on the back and neck.
Option b is incorrect because moving the walker too far ahead can cause instability and increase the risk of falls.
Option d is incorrect because picking up the walker with each step can cause fatigue and decrease the effectiveness of the walker.
Correct Answer is C
Explanation
The correct answer is that the client can apply lotion to their feet if they avoid the area between their toes. Moisturizing the feet can help prevent dry skin and cracking, which are common problems for people with diabetes. However, it is important to avoid applying lotion between the toes, as this can create a moist environment that promotes the growth of fungus and bacteria¹.
Options a, b and d are not correct statements by the client that indicate an understanding of proper foot care for diabetes. Using a pumice stone to soften calluses on the feet, going barefoot just in the house and using a heating pad when feet are cold are not recommended practices for people with diabetes.
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