The nurse is caring for a child with hemophilia A. The child's activity is as tolerated. What activity is contraindicated for this child?
a. Ambulating to the cafeteria
b. Active range of motion
c. Ambulating to the playroom
d. Passive range of motion exercises
ANS: D
Passive range of motion exercises should never be part of an exercise regimen after an acute episode because the joint capsule could easily be stretched and bleeding could recur. Active range of motion exercises are best so that the patient can gauge his or her own pain tolerance. The child can ambulate to the playroom or the cafeteria.
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