The nurse is performing passive range of motion on the client and notes that the client's ankle is red, edematous, and painful to the touch. Which action by the nurse is the most appropriate?
1. Perform range of motion very gently to the ankle.
2. Perform normal range of motion to the ankle.
3. Skip range of motion in this joint and move on to the next joints.
4. Notify the health care provider before performing range of motion to this joint.
Correct Answer: 4
If a joint is traumatized, it is best to avoid ROM exercises until consulting with the primary care provider. After speaking with the health care provider, if ROM is indicated, the nurse would not move the joint to the point of resistance or pain, and might consult with a physical therapist. The traumatized joint should not just be skipped, as it should be brought to the attention of the health care provider so diagnostic tests can be performed as indicated.
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