Florida Nursing Assistant Competency Pracrice Exam

How can a Nurse Aid prevent a flexor contracture for a paralyzed client's hand?

1. By placing a hand roll in the client's palm

2. By keeping the hand flat on the bed

3. By immobilizing the hand

4. By moving the fingers manually

The correct answer is: By placing a hand roll in the client's palm

The use of a hand roll in the client’s palm is an effective method for preventing flexor contractures in a paralyzed hand. A hand roll helps maintain the wrist and fingers in a functional position, preventing them from curling inwards due to muscle tightness and shortening. This positioning allows for optimal circulation, better joint alignment, and preservation of the range of motion, which is crucial for maintaining functionality in the hand. In contrast, keeping the hand flat on the bed may not provide enough support to prevent the natural tendency of the muscles to shorten, especially in a paralyzed limb. Immobility can lead to stiffness and contractures since it does not actively encourage movement, which is vital for maintaining flexibility. Manually moving the fingers can provide temporary relief but may not be enough to effectively prevent contractures over time without consistent support and positioning devices like a hand roll. Therefore, utilizing a hand roll is the best proactive approach in this scenario.