When caring for a client with a right-sided cerebrovascular accident, what intervention should the nurse implement?

When caring for a client who has experienced a right-sided cerebrovascular accident, the primary focus is on maintaining the functional abilities of the left side of the body while preventing complications such as contractures. Using a hand roll while supporting the left upper extremity on a pillow directly addresses the risk of contractures, which are shortening and tightening of the muscles and tendons that can occur due to immobility and changes in muscle tone following a cerebrovascular accident. By providing proper positioning and support to the affected extremities, the nurse helps to promote alignment, maintain muscle length, and encourage optimal function.

Supportive measures such as a hand roll prevent the fingers from curling into the palm, while the placement of the affected arm in a supported position reduces strain on the shoulder and helps maintain range of motion. This intervention not only helps prevent muscle atrophy and joint deformities but also promotes comfort and enhances the potential for rehabilitation of movement as the client recovers.

Other intervention options focused on different aspects, but they do not directly address the prevention of contractures in the same effective manner. While elastic stockings might be beneficial for promoting venous return in a flaccid leg, they do not effectively prevent contractures. Similarly, while passive range-of-motion exercises can