While performing passive ROM exercises, the nurse stands at the ...

[yoooooman]

While performing passive ROM exercises, the nurse stands at the side of the bed closest to the joint being exercised and
 
  a. Forces the joint just a bit beyond the point of resistance.
  b. Moves the joint until the patient complains of pain.
  c. Repeats each movement twice.
  d. Carries out movements slowly and smoothly.

Question 2

The nurse is admitting a patient who has been diagnosed as having had a stroke. The physician writes orders for ROM as needed. The nurse understands that
 
  a. The nurse will have to move all the patient's extremities.
  b. The patient is unable to move his extremities.
  c. Further assessment of the patient is needed.
  d. The patient needs to restrict his mobility as much as possible.

[CharlieArnold]

Answer to Question 1

ANS: D
The nurse carries out movements slowly and smoothly, just to the point of resistance. ROM should not cause pain. Never force a joint beyond its capacity. Each movement needs to be repeated five times during the session.

Answer to Question 2

ANS: C
Further assessment of the patient is needed. Some patients are able to move some joints actively, whereas the nurse passively moves others. With a weak patient, the nurse may have to support an extremity while the patient performs the movement. In general, exercises need to be as active as health and mobility allow.