Question

The nurse cares for a client with left hemiparesis. The nurse performs which actions to reduce the risks associated with limited mobility on the affected side?

Select all that apply.

1) Position the client's affected arm on a pillow while at rest.
2) Encourage the client to use the unaffected side to perform activities of daily living.
3) Assist the client with passive and active range of motion exercises.
4) Encourage the client to cough and deep breathe multiple times per day.
5) Apply boots or high top shoes while the client is at rest.

Answer 1

To reduce risks associated with limited mobility in a client with left hemiparesis, the nurse should position the affected arm on a pillow, assist with a range of motion exercises, and encourage coughing and deep breathing.

Step-by-step explanation:

To reduce the risks associated with limited mobility on the affected side for a client with left hemiparesis, the nurse should:

1. Position the client's affected arm on a pillow while at rest to maintain proper alignment and prevent joint stiffness.
2. Assist the client with passive and active range of motion exercises to maintain joint flexibility, improve circulation, and enhance muscle strength.
3. Encourage the client to cough and deep breathe multiple times per day to prevent respiratory complications such as pneumonia, which can be associated with immobility.

While it may seem helpful to encourage the client to use the unaffected side to perform activities of daily living, this does not necessarily reduce the risks associated with the limited mobility on the affected side and may lead to neglect of the affected side. Applying boots or high-top shoes while at rest is not typically a measure to reduce risks associated with limited mobility unless specifically prescribed for conditions such as foot drop.