A nurse is providing range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?

Each of movement is repeated 5 times by the patient

Each movement is moved just to the point of resistance by the nurse

Each movement is completed quickly and smoothly by the nurse

Each movement is performed until the patient’s reports pain

Answer and Explanation

The Correct Answer is B

A) Each movement is repeated 5 times by the patient: While active range-of-motion (ROM) exercises often involve repetition, the key goal of passive ROM exercises (when the nurse is assisting the patient) is not to have the patient repeat movements. Instead, the nurse should ensure the patient’s joints are moved gently to their fullest range without causing discomfort or damage. Repeating movements a specific number of times isn't a required approach for passive ROM.

B) Each movement is moved just to the point of resistance by the nurse: This technique is the most appropriate when performing passive ROM exercises. The nurse should gently move the joint through its range of motion and stop at the point where resistance is felt, but without pushing into pain or forcing movement beyond the joint’s natural limits. This approach helps prevent injury while still providing the necessary mobility and flexibility.

C) Each movement is completed quickly and smoothly by the nurse: While the movement should be smooth, it should never be rushed or performed quickly, as that can cause strain or discomfort. ROM exercises should be done slowly and deliberately to avoid injury and to allow the joints to move through their full range of motion without abrupt movements. Quick motions could increase the risk of joint or muscle injury.

D) Each movement is performed until the patient reports pain: ROM exercises should be performed gently and within the range that does not cause pain. The goal is to maintain joint flexibility and prevent contractures, not to push the patient into pain. If the patient reports pain, the nurse should stop immediately to avoid injury and reassess the approach to ROM exercises. Pain should never be a target for achieving range of motion.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A) Obtain a bedside commode for the client's use: While a bedside commode may be helpful for reducing the need for the client to walk to the bathroom, it may not fully address the client's concern about falling. The most immediate solution to improve safety during the night would be ensuring that the environment is adequately lit and easy to navigate. The bedside commode could be considered, but a nightlight would be the first step.

B) Leave a nightlight on in the client's room: This is the best action to take in this situation. A nightlight will improve visibility and help the client navigate safely to the bathroom at night. Falls are more common in low-light environments, and a nightlight can provide the needed illumination to reduce the risk of tripping or losing balance during the night.

C) Limit the client's fluid intake in the evening: While limiting fluid intake may reduce the frequency of nighttime trips to the bathroom, it is not an ideal or holistic solution. Reducing fluid intake can also lead to dehydration, which can cause other health issues. The focus should be on creating a safe environment for the client to move about, rather than restricting essential fluids.

D) Put the side rails up and tell the client to call the nurse before voiding: Raising the side rails can increase the risk of entrapment and restrict the client's ability to move freely if they need to get out of bed. Telling the client to call the nurse may also delay their ability to respond to their needs promptly, especially in the middle of the night. Instead, ensuring a safer environment and encouraging independence, with appropriate safety measures like a nightlight, is more effective.

Correct Answer is ["1170"]

Explanation

Convert Cups to Milliliters (mL):

Coffee: 1 cup = 240 mL

Gelatin: 1 cup = 240 mL

Tea: 1 cup = 240 mL

Convert Ounces (oz) to Milliliters (mL):

Orange Juice: 4 oz x 30 mL/oz = 120 mL

Water (first serving): 3 oz x 30 mL/oz = 90 mL

Broth: 5 oz x 30 mL/oz = 150 mL

Water (second serving): 3 oz x 30 mL/oz = 90 mL

Total Intake:

Add all the volumes together:

240 mL (coffee) + 240 mL (gelatin) + 240 mL (tea) + 120 mL (orange juice) + 90 mL (water) + 150 mL (broth) + 90 mL (water) = 1170 mL

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Correct Answer is ["1170"]

Explanation

A nurse reviews an immobilized patient's laboratory results and discovers that his/her calcium lab values are abnormally high (Hypercalcemia). Which condition will the nurse monitor for most closely in this patient?

A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulations. Which of the following instructions should the nurse give the APs about the clients' use of a cane?

A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?

A nurse is caring for a patient diagnosed with osteoporosis and lactose intolerance. What intervention will the nurse implement

A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?

A client smoking in his bathroom has dropped a cigarette butt into wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?

A nurse on a medical unit is teaching a group of assistive personnel about handling clients’ bed linens safely. Which of the following instructions should the nurse include?

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)