A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
A.
“I will move your joints to the point of mild pain.”
B.
“I will repeat these movements 3 to 5 times.”
C.
“These movements will be performed once per day.”
D.
“I will move your joints quickly.”
The Correct answer and Explanation is:
The correct answer is B: “I will repeat these movements 3 to 5 times.”
Explanation:
Passive range-of-motion (PROM) exercises are designed to maintain joint flexibility and prevent stiffness in clients who have decreased mobility. These exercises are performed by a caregiver or nurse when the client cannot do them independently due to conditions like paralysis, post-surgery recovery, or severe weakness.
When instructing a client about PROM exercises, it’s crucial to emphasize the appropriate frequency and method of these movements. The statement, “I will repeat these movements 3 to 5 times,” is correct because it aligns with standard practice guidelines. Generally, each movement should be performed within the joint’s normal range, repeated multiple times (typically 3 to 5) to effectively stimulate circulation and maintain joint flexibility without causing discomfort.
Rationale for Other Options:
- A: “I will move your joints to the point of mild pain.” This statement is inappropriate because PROM should be performed gently and without causing pain. The goal is to facilitate movement without discomfort, as causing pain can lead to muscle guarding or avoidance of movement, which is counterproductive.
- C: “These movements will be performed once per day.” While PROM exercises should be performed regularly, once a day is generally insufficient for maintaining joint flexibility and preventing stiffness. Depending on the client’s condition, multiple sessions throughout the day may be recommended.
- D: “I will move your joints quickly.” This statement is also incorrect. PROM should be done slowly and smoothly to prevent injury and ensure the client remains comfortable. Rapid movements can lead to injury, especially in joints that are already compromised.
In summary, option B accurately reflects the appropriate approach to PROM exercises, promoting joint health while ensuring client comfort and safety.