Question

The nurse is caring for a patient diagnosed with an ischemic stroke and knows that effective positioning of the patient is important. Which of the following should be integrated into the patient's plan of care?

A) The patient's hip joint should be maintained in a flexed position.
B) The patient should be in a supine position unless ambulating.
C) The patient should be placed in a prone position for 15 to 30 minutes several times a day.
D) The patient should be placed in a Trendelenberg position two to three times daily to promote cerebral perfusion.

Answer 1

Correct patient positioning for ischemic stroke recovery is vital and involves regular changes in position, proper alignment, and avoiding extreme postures. The Trendelenburg position is not typically recommended for stroke patients.

Step-by-step explanation:

The nurse caring for a patient diagnosed with an ischemic stroke needs to integrate effective positioning into the patient's plan of care. The correct positioning should aim to promote optimal physiological functioning and prevent complications such as contractures and pressure ulcers. While the specific options presented are not recommended positions for stroke patients, general positioning principles involve avoiding prolonged immobility, encouraging the patient to change positions regularly, ensuring the alignment of the body, avoiding extreme positions, and using supportive devices when necessary. The Trendelenburg position, or any of the positions mentioned, are not standard care for ischemic stroke patients and specific positioning should always be guided by a healthcare professional's assessment.