MRCP UK EXAMINATIONS

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NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
When developing a plan of care for a patient with impaired physical mobility who must remain on complete bedrest, which of the following would the nurse most likely include to prevent external rotation of the hip?
A
Protective boots
B
Range-of-motion exercises
C
Trochanter roll
D
Pillow between the legs
Explanation: 

Detailed explanation-1: -One of the best ways to reduce the risk of developing contractures is to perform regular stretching. Frequent, gentle stretching of the affected muscles allows these muscles to elongate, especially when the stretch is held for at least 15-30 seconds.

Detailed explanation-2: -2. What should the nurse be aware is the best prevention of immobility-related disorders? Exercise will help reduce the patient’s risk of immobility-related disorders.

Detailed explanation-3: -To maintain proper body alignment; avoid strenuous exercises. Help to sitting position; place chair at 90 degrees angle to bed; stand on affected side; pivot patient to unaffected side. To prevent dizziness and orthostatic hypotension.

Detailed explanation-4: -Provide passive ROM. If the patient is unable to perform exercises independently, the nurse should provide passive ROM several times per day to prevent contractures and muscle weakness.

There is 1 question to complete.
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