Difficulty: Medium
Average Score: 87%
Simulated
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?
Correct answer
B
Rationale
The correct answer is B: Apply an orthotic boot to the client's left foot. This intervention is important for preventing foot drop, a common complication of left-sided hemiplegia. An orthotic boot helps maintain the foot in a neutral position, preventing contractures and promoting proper alignment for ambulation. Resting the left arm over the chest (choice A) does not address the issue of foot drop. Placing a pillow behind the head (choice C) is not relevant to left-sided hemiplegia. Instructing the client to lean toward the left side (choice D) is incorrect as it may increase the risk of falls.