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A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?

A.

Each movement is performed until the patient reports pain.

B.

Each movement is moved just to the point of resistance by the nurse.

C.

Each movement is repeated 5 times by the patient.

D.

Each movement is completed quickly and smoothly by the nurse.

Answer and Explanation

The Correct Answer is B

A. Performing movements until the patient reports pain is inappropriate in passive range of motion, as the goal is to maintain joint function without causing discomfort.  

 

B. Moving each joint to the point of resistance helps to maintain flexibility and prevent stiffness without causing harm, making this the appropriate technique.  

 

C. Repeating movements five times by the patient is not applicable for passive range of motion, which is performed by the nurse on a patient who cannot do it themselves.  

 

D. While smooth movements are essential, they should not be done quickly; the focus should be on the patient's comfort and safety, avoiding rapid or jerky motions.


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Correct Answer is A

Explanation

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B. A 90-degree angle is used for intramuscular injections, not for intradermal tests like the tuberculin test.

C. A 30-degree angle is commonly used for subcutaneous injections and is too deep for an intradermal injection.

D. A 45-degree angle is also used for subcutaneous injections but is not suitable for intradermal injections.

Correct Answer is C

Explanation

A. Increased cholesterol levels are not directly related to garlic intake or the effects of warfarin.

B. Distended jugular veins may indicate fluid overload or heart failure but are not a direct concern related to warfarin and garlic interaction.

C. Garlic can enhance the anticoagulant effect of warfarin, increasing the risk of bleeding; therefore, monitoring for signs of bleeding is crucial.

D. Angina is not a direct consequence of the interaction between garlic and warfarin and does not specifically relate to the assessment for this patient.

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