Question

1. the nurse asks you to give rom exercise to a resident who is confined to bed. according to her care plan, there are no restrictions. what does

o restrictions\ mean?

you should work their joints and muscles very hard.
provide rom exercise as often as possible on each shift
the resident should be able to do all of the exercises alone
you may move each joint through its full available range.

Explanation:

Analyze the clinical meaning of "no restrictions" in ROM exercises

"No restrictions" on a resident's care plan for Range of Motion (ROM) exercises indicates that there are no physical limitations or medical contraindications preventing a joint from being moved through its normal physiological limits. It allows the caregiver to safely move each joint through its full available range of motion without forcing past resistance or causing pain.

Evaluate the given options

• Option 1 ("You should work their joints and muscles very hard") is incorrect because ROM exercises should never force joints or work them aggressively, as this can cause injury.
• Option 2 ("Provide ROM exercise as often as possible on each shift") is incorrect because the frequency of exercises is determined by the specific care plan schedule, not performed continuously.
• Option 3 ("The resident should be able to do all of the exercises alone") is incorrect because "no restrictions" refers to the physical limits of the joints, not the resident's level of independence or ability to perform them without assistance (which would be Active ROM).
• Option 4 ("You may move each joint through its full available range") is correct because it accurately defines the clinical application of having no physical restrictions on joint movement.

Answer:

• You should work their joints and muscles very hard.
• Provide ROM exercise as often as possible on each shift
• The resident should be able to do all of the exercises alone
• You may move each joint through its full available range. (Correct answer)