A patient is admitted to the neurologic ICU with a spinal cord injury. In writing the patient's care plan, the nurse specifies that contractures can best be prevented by what action?
A) Repositioning the patient every 2 hours
B) Initiating range-of-motion exercises (ROM) as soon as the patient initiates
C) Initiating (ROM) exercises as soon as possible after the injury
D) Performing ROM exercises once a day
Ans: C
Feedback:
Passive ROM exercises should be implemented as soon as possible after injury. It would be inappropriate to wait for the patient to first initiate exercises. Toes, metatarsals, ankles, knees, and hips should be put through a full ROM at least four, and ideally five, times daily. Repositioning alone will not prevent contractures.
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