A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture?
A.
Place a towel roll under the client’s neck.
B.
Position a pillow under the client’s knees.
C.
Apply an orthotic to the client’s foot.
D.
Align a trochanter wedge between the client’s legs.
Answer and Explanation
The Correct Answer is B
The correct answer is:
C. Apply an orthotic to the client’s foot.
Explanation: Orthotic devices, such as foot drop splints, help maintain proper alignment and prevent contractures by ensuring that the foot and ankle are positioned correctly. This is crucial for immobile clients to avoid the development of contractures, especially in the foot and ankle.
A. Placing a towel roll under the client’s neck does not address contractures in the extremities and may not be effective for overall positioning.
B. Positioning a pillow under the client’s knees can contribute to flexion contractures in the knees and hips if used improperly. It’s typically better to keep the legs in a neutral position.
D. Aligning a trochanter wedge between the client’s legs helps prevent hip external rotation but does not specifically address contractures in the foot or ankle.