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?

A. "Remain in a side-lying position." is incorrect. While side-lying may be used temporarily for comfort, it does not specifically prevent contractures of the upper body. Proper positioning for burn clients focuses on maintaining joint extension and functional alignment. B. "Wear splints on your wrists." is correct. After upper-body burns, clients are at risk for flexion contractures, especially of the wrists and fingers. Splints help maintain the wrists in a neutral or slightly extended position, preventing deformities and preserving function during the healing process. C. "Place a firm pillow under your head." is incorrect. While pillows can provide comfort, improper placement can promote neck or shoulder flexion, increasing the risk of contractures. Head positioning should support the natural cervical curve without encouraging flexion that limits mobility. D. "Keep your elbow in a flexed position." is incorrect. Keeping the elbow flexed increases the risk of flexion contractures. Instead, the elbow should be positioned in slight extension, often with a splint or rolled towel, to maintain joint mobility and prevent contractures.