A nurse is teaching a client who has burns to the upper body about positioning to prevent contractures. Which of the following information should the nurse include?
Explanation & Rationale
A. "Keep your elbow in a flexed position.": Maintaining the elbow in flexion can promote contracture formation after burns. The joint should be positioned in extension, or a neutral alignment, to prevent tightening of the skin and underlying tissues. B. "Remain in a side-lying position.": Lying on the side does not specifically prevent contractures in the upper body and may cause pressure on burned areas. Proper positioning should focus on extending the affected joints and minimizing flexion. C. "Wear splints on your wrists.": Splints help maintain joints in a functional position and prevent contractures, particularly after burns to the hands, wrists, or forearms. Regular use of splints supports tissue healing in an extended position and improves long-term mobility. D. "Place a firm pillow under your head.": Placing a pillow under the head does not prevent contractures in the upper extremities. Head positioning should ensure comfort and airway alignment, but joint positioning is more critical for contracture prevention.