Question

The client has a deep partial-thickness injury to the posterior neck. Which intervention should the nurse use during the acute phase to prevent contractures associated with this injury?

A.) Place a towel roll under the client's neck or shoulder.
B.) Keep the client in a supine position without pillows.
C.) Have the client turn the head from side to side 90 degrees every hour while awake.
D.) Keep the client in a semi-Fowler position and actively raise the arms about the head every hour while awake.

Answer 1

Option A) Place a towel roll under the client's neck or shoulder during the acute phase.

Step-by-step explanation:

To prevent contractures associated with a deep partial-thickness injury to the posterior neck, the nurse should use option A) Place a towel roll under the client's neck or shoulder during the acute phase. This intervention helps to maintain proper alignment and prevents the neck from flexing forward, reducing the risk of contractures. It provides support and helps to maintain the natural curvature of the neck.