The nurse is admitting a patient who has been diagnosed as having had a stroke. The health care provider writes orders for "ROM as needed." What should the nurse do next?
a. Restrict patient's mobility as much as possible.
b. Realize the patient is unable to move extremities.
c. Move all the patient's extremities.
d. Further assess the patient.
ANS: D
Further assessment of the patient is needed to determine what the patient is able to perform. 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.
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