Practice Question
A nurse is creating a plan of care for a client who has left-sided hemiplegia. Which of the following interventions should the nurse include?
Answer Choices:
Correct Answer:
Apply an orthotic boot to the client’s left foot.
Rationale:
🌟 Clients with left-sided hemiplegia are at risk for foot drop, which occurs due to weakness or paralysis of the dorsiflexor muscles. Applying an orthotic boot helps maintain proper foot alignment, prevents contractures, and supports safe ambulation.
🌟 The boot promotes neutral positioning of the ankle and foot, reducing the risk of plantar flexion deformities.
🌟 It also helps to distribute pressure and prevents skin breakdown by reducing prolonged contact of the heel with the bed surface.
🌟 Proper foot alignment is essential to enhance mobility, balance, and independence in hemiplegic clients.
🌟 This intervention supports overall rehabilitation goals by preventing complications that could further impair mobility.
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This question is from ☑️ ATI-RN Fundamentals-Miami Regional University which contains 37 questions.
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From Exam
☑️ ATI-RN Fundamentals-Miami Regional University
37 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4