A patient has prolonged bed rest after a femoral fracture. The feet are resting in plantar flexion, and the patient has no restriction on ankle movement. Which intervention should the nurse use to help prevent foot drop?
Correct answer: A. Place a footboard at the end of the bed and encourage ankle dorsiflexion
- A. Place a footboard at the end of the bed and encourage ankle dorsiflexion
- B. Keep the affected foot pointed downward with a pillow under the heel
- C. Limit ankle movement until the fracture is completely united
- D. Place a pillow under the calf so the toes remain lower than the heel
Explanation
A footboard supports the feet in a neutral position, while dorsiflexion exercises maintain ankle movement and muscle length. Keeping the foot pointed downward promotes plantar-flexion contracture, and restricting safe ankle movement increases the risk of foot drop.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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