What should the nurse include in the patient's care plan when establishing an exercise program for a patient affected by a stroke?
A) Schedule passive range-of-motion every other day.
B) Keep activity limited, as the patient may be overstimulated.
C) Have the patient partake in active range of motion 2 times a day.
D) Exercise the affected extremities passively 4 or 5 times a day.
Ans: D
Feedback: The affected extremities are exercised passively and put through a full range of motion 4 or 5 times a day to maintain joint mobility, regain motor control, prevent development of a contracture in the paralyzed extremity, prevent further deterioration of the neuromuscular system, and enhance circulation. Exercise is helpful in preventing venous stasis, which may predispose the patient to thrombosis and pulmonary embolus. Repetition of an activity forms new pathways in the central nervous system and therefore encourages new patterns of motion. At first, the extremities are usually flaccid. If tightness occurs in any area, the range-of-motion exercises should be performed more frequently.
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