Restorative CareQuestion 120 of 200

To prevent foot drop in a bedbound resident, the CNA should:

a.Leave the feet hanging over the end of the mattress so the toes are not pressed by the sheet
b.Place a pillow tightly under the knees at all times to support the legs
c.Use a foot board, high-top sneakers, or splints to keep the feet at a 90-degree angle
d.Tuck the top sheet tightly across the toes to keep the feet warm

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 (b) 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 §72315

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