The nurse, who is caring for a 73-year-old female patient who has been hospitalized with a stroke, instructs the patient's daughter to continue to do passive ROM exercises with her mother on her affected side to prevent contractures
The nurse explains to the daughter that this is very important in an immobile older adult patient because contractures can form how quickly? a. Within 8 hours
b. Within 24 hours
c. Within 1 week
d. Within 1 month
A
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A Disuse, atrophy, and shortening of the muscle fibres cause joint contractures. When a contracture occurs, the joint cannot obtain full ROM. Contractures sometimes leave a joint or joints in a nonfunctional position, as seen in patients who are permanently curled in a fetal position. Early prevention of contractures is key; they can begin to form after only 8 hours of immobility in the older adult patient.
B Disuse atrophy can occur in 8 hours, not 24 hours.
C Disuse atrophy can occur in 8 hours, not 1 week.
D Disuse atrophy can occur in 8 hours, not 1 month.
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