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.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

A) Foot drop: Foot drop is a common complication associated with impaired physical mobility. It occurs when the muscles responsible for lifting the front of the foot become weak or paralyzed, often due to prolonged immobility or neurological impairment. The nurse should monitor for this condition and implement preventive measures like using ankle-foot orthoses (AFOs) to support the foot in a neutral position and promote proper alignment.

B) Increased socialization: While it is important to encourage socialization and support mental health, increased socialization is not a complication associated with impaired mobility. In fact, patients with impaired mobility are more likely to experience social isolation, not increased socialization. Therefore, the nurse should focus on strategies to encourage social interaction to prevent feelings of loneliness and depression.

C) Somnolence: Somnolence, or excessive sleepiness, is not directly related to impaired physical mobility. While some patients with severe illness or conditions may experience somnolence, it is not a common complication of immobility. Instead, the nurse should focus on monitoring for complications like respiratory issues or skin breakdown.

D) Hypostatic pneumonia: Hypostatic pneumonia is a complication that can occur when a patient remains in a supine or immobile position for an extended period. The lack of movement and deep breathing can lead to pooled secretions in the lungs, which increases the risk of infection. The nurse should monitor for signs of respiratory distress and encourage frequent position changes, deep breathing, and coughing exercises to reduce the risk.

E) Impaired skin integrity: Impaired skin integrity is a major concern in patients with impaired mobility. Prolonged pressure on bony prominences due to immobility can lead to pressure ulcers (bedsores). The nurse should monitor the skin regularly, implement pressure-relieving devices, and reposition the patient frequently to prevent skin breakdown.

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

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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

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Correct Answer is ["A","D","E"]

Explanation

Correct Answer is ["1170"]

Explanation

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