A nurse is caring for a client who has a spinal cord injury. Which of the following support devices should the nurse plan to use to prevent plantar flexion contractures?
Explanation & Rationale
A. Footboard: A footboard helps maintain the foot in dorsiflexion and prevents it from pointing downward, which is essential in avoiding plantar flexion contractures in clients with limited mobility due to spinal cord injury. B. Sheepskin heel pad: While this device helps reduce pressure and prevent skin breakdown on the heels, it does not provide structural support to keep the foot in the correct position and therefore does not prevent contractures. C. Trochanter roll: A trochanter roll is placed alongside the outer thigh to prevent external rotation of the hip, not to support the foot or ankle. It is unrelated to plantar flexion prevention. D. Abduction pillow: This is used to maintain proper hip alignment, especially after hip surgery. It does not provide support or positioning for the feet and is not effective for preventing foot contractures.