The client who is unconscious is developing foot drop. What nursing ac

The client who is unconscious is developing foot drop. What nursing action is indicated?

1. Place high-topped shoes on the client while in bed.
2. Keep the linens on the end of the bed turned back to expose the feet.
3. Use only the prone and Sims positions for client positioning.
4. Use a device to elevate the linens off the feet.

ANSWER

Correct Answer: 1
Rationale 1: High-topped shoes will place the client’s feet in the anatomical position of dorsal flexion.
Rationale 2: Turning the linens back will keep the weight of the linens off of the feet but will not prevent foot drop.
Rationale 3: The prone and Sims positions are implicated in the development of foot drop.
Rationale 4: A device to elevate the linens off of the feet will not prevent foot drop.