Restorative CareQuestion 120 of 200
To prevent foot drop in a bedbound resident, the CNA should:
a.Leave the feet hanging off the end of the mattress
b.Use a foot board, high-top sneakers, or splints to keep the feet at a 90-degree angle
c.Place a pillow tightly under the knees at all times
d.Tuck the top sheet very tightly across the toes
Explanation
Foot drop (plantar flexion contracture) develops when the foot remains pointed downward. Prevention: keep ankles in dorsiflexion (90 degrees) using a foot board, high-tops, or prescribed splints, with frequent ROM. Feet hanging off the bed (a) causes plantar flexion. Pillows under the knees (c) cause hip and knee flexion contractures and impair circulation. Tight top sheets (d) push toes into plantar flexion — instead, use a bed cradle or loose sheet. 42 CFR §483.25(b)/(c) require prevention of avoidable decline.
Law Reference: 42 CFR §483.25(b); Title 22 CCR §72315Practice all 200 questions free — no signup required.
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