Question

The nurse is caring for a client who is immobile from a recent stroke. Which intervention does the nurse implement to prevent complications in this client?

a.Position the client with the unaffected side down.
b.Apply sequential compression stockings.
c.Instruct the client to turn the head from side to side.
d.Teach the client to touch and use both sides of the body.

Answer 1

To prevent complications from immobility after a stroke, the nurse should position the client with the unaffected side down and apply sequential compression stockings.

Step-by-step explanation:

The nurse is caring for a client who is immobile from a recent stroke. To prevent complications in this client, the most appropriate intervention would be to position the client with the unaffected side down. This helps to prevent pressure ulcers and allows for proper lung expansion, which can be compromised when lying on the affected side. Another crucial intervention is using sequential compression stockings to prevent venous thromboembolism, a common risk for stroke patients who are immobilized. Category c, instructing the client to turn the head from side to side, and category d, teaching the client to touch and use both sides of the body, are both important for recovery, but they do not directly prevent complications of immobility.