A client with hemiplegia who is on bed rest is turned to the supine position, and the nurse determines that the client's hips are externally rotated. Which intervention is most important for the nurse to implement?

A. Request a prescription for a bed board to provide increased back support.
B. Reposition the client so that both feet are supported by the bed board.
C. Move the trapeze bar to allow the client to pull with the upper extremities.
D. Place trochanter rolls on the lateral aspects of the client's thighs.

The best intervention for a hemiplegic patient with externally rotated hips in the supine position is to position trochanter rolls on the lateral aspects of the thighs. This helps maintain alignment and prevents further problems.

Explanation:

In the case of a client with hemiplegia whose hips are externally rotated in the supine position, the most crucial intervention the nurse can implement is option D - placing trochanter rolls on the lateral aspects of the client's thighs. Hemiplegia, a condition resulting in paralysis on one side of the body, can lead to poor muscle control and weakness, causing unintentional hip external rotation when in the supine position. Trochanter rolls, thick padding placed around the hip area, can help maintain alignment and prevent further issues related to this external rotation of the hips.

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