In the care plan for a client with paraplegia, which action supports body alignment?

• A. Change bed position hourly
• B. Use supportive devices to maintain body alignment
• C. Instruct active leg exercises
• D. Passive leg exercises several times daily

Answer: (B)

Maintaining body alignment relies on using external supports to hold the body in a neutral, evenly aligned position when motor control is limited. In paraplegia, the patient may lack the ability to actively keep the spine, pelvis, and limbs straight, so supportive devices help prevent abnormal rotation or flexion and reduce the risk of contractures and pressure injuries. By placing pillows, wedges, a trochanter roll, and a footboard as needed, the nurse keeps the head, neck, spine, and hips in proper alignment, promotes comfort, and protects joints from misalignment during rest.

Other actions may support skin care or circulation, but they don’t directly ensure the body remains aligned. For instance, changing bed positions helps with pressure relief and skin checks, and leg exercises aid circulation and prevent contractures, but they don’t specifically maintain the trunk and limb alignment that supportive devices provide.