The nurse is performing a musculoskeletal assessment with a client. Which action(s) should the nurse implement when performing passive range of motion (PROM) exercises with a client? Select all that apply.
Continue PROM if joint's muscle spasms to relax muscle.
Slowly stretch the joint's muscles if pain is present.
Move the joint slowly until resistance is felt.
Instruct the client to relax during the exercises.
Support the extremity of the joint being exercised.
Correct Answer : C,D,E
A. Continue PROM if joint's muscle spasms to relax muscle: Continuing to move a joint during muscle spasms can worsen injury or cause pain. PROM should be stopped if spasms occur and reassessed to prevent harm.
B. Slowly stretch the joint's muscles if pain is present: Stretching a joint when pain is present can cause tissue damage or exacerbate injury. Pain indicates that the joint has reached its limit, so exercises should be within a pain-free range.
C. Move the joint slowly until resistance is felt: Moving the joint slowly until resistance allows for safe assessment of mobility and flexibility without overstretching or causing injury. Resistance provides a natural limit to the joint’s passive range of motion.
D. Instruct the client to relax during the exercises: Relaxation reduces muscle tension, allowing for safer and more effective passive movements. Client cooperation helps prevent muscle guarding and ensures proper joint mobilization.
E. Support the extremity of the joint being exercised: Supporting the extremity prevents undue stress on muscles and joints, reduces the risk of injury, and allows controlled movement during PROM exercises. Proper support is essential for safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This tablet clearly shows a bisecting score (a single line across the middle). This score is placed by the manufacturer to ensure that when cut, the tablet breaks evenly, and each half contains an approximately equal dose of the medication.
B. The ability to safely cut a tablet in half is indicated by the presence of a score (a line or indentation) on the tablet's surface. These tablets do not have a visible score. Cutting an unscored tablet is unsafe because it can result in uneven dosing.
C. The ability to safely cut a tablet in half is indicated by the presence of a score (a line or indentation) on the tablet's surface. These tablets do not have a visible score. Cutting an unscored tablet is unsafe because it can result in uneven dosing.
Correct Answer is C
Explanation
A. Absent sounds: Absent bowel sounds are abnormal and may indicate an ileus, obstruction, or decreased intestinal motility, requiring further assessment.
B. Pain: Pain elicited during percussion is not a normal finding and may indicate underlying pathology such as inflammation, infection, or organ enlargement.
C. Musical and drumlike: Tympany, which produces a musical, drumlike sound during percussion, is a normal finding over air-filled structures in the abdomen. It indicates the presence of gas in the stomach and intestines, reflecting normal gastrointestinal function.
D. Tenderness: Tenderness on percussion is abnormal and may suggest inflammation, infection, or other abdominal pathology requiring further evaluation.
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