Question

a client with limited mobility has outward rotation of the bony protrusions at the head of the femur. which assistive device would the nurse include in the plan of care?

trochanter rolls
roller sheets
foot boards
foot splints

Explanation:

Identify the anatomical landmark and clinical issue

The question describes a client with limited mobility who exhibits outward rotation of the "bony protrusions at the head of the femur." These bony protrusions are the greater trochanters. Outward (external) rotation of the hips is a common complication in bedridden or immobile clients, where the femurs rotate laterally, causing the feet to turn outward.

Evaluate the purpose of trochanter rolls

Using the Lateral Positioning Support knowledge point

• Trochanter rolls are cylindrical positioning aids (often made of rolled towels or foam) placed against the greater trochanters of the femur.
• They prevent external rotation of the hips when the client is in a supine position, keeping the femurs in neutral alignment.

Analyze the incorrect options

• Roller sheets: Used to facilitate safe patient transfers and repositioning up in bed, not for maintaining hip alignment.
• Foot boards: Placed at the foot of the bed to prevent footdrop by maintaining dorsiflexion, not for hip rotation.
• Foot splints: Used to maintain proper foot alignment and prevent footdrop, not to control hip rotation.

Formulate the clinical conclusion

A trochanter roll is the specific assistive device designed to prevent external rotation of the hips by supporting the greater trochanters. Therefore, the nurse should include trochanter rolls in the plan of care.

Answer:

• trochanter rolls (Correct answer)
• roller sheets
• foot boards
• foot splints