Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

In a patient with hemiplegia, how should the affected shoulder be positioned to minimize shoulder problems?

1. Flexion

2. Extension

3. Abduction

4. Adduction

The correct answer is: Abduction

In a patient with hemiplegia, positioning the affected shoulder in abduction is important for minimizing shoulder problems such as subluxation and pain. When the shoulder is positioned in abduction, it helps to maintain joint integrity and reduces the role of gravity on the affected joint, allowing for proper alignment and support. This position can also decrease the likelihood of soft tissue shortening and contractures, which can occur if the shoulder is kept immobile or improperly positioned over time. Proper shoulder positioning can prevent complications that often arise from hemiplegia, such as impingement and rotator cuff injuries. By ensuring the shoulder is abducted, the nurse can facilitate an environment that encourages better function and aids in overall rehabilitation efforts. This positioning strategy is fundamental in the care of patients recovering from neurological impairments, as it supports both physical therapy goals and enhances the patient's comfort.