Evolve HESI Practice Exam

When instructing a male client's wife on passive range-of-motion exercises, the nurse notices she is holding his arm above and below the elbow. What should the nurse say?

1. Correct her hold to improve support

2. Acknowledge that she is supporting the arm correctly

3. Suggest using a pillow for added support

4. Advise her to ask the client for feedback

The correct answer is: Acknowledge that she is supporting the arm correctly

The correct response is to acknowledge that the wife is supporting the arm correctly. This is important because during passive range-of-motion exercises, the primary goal is to ensure that the client's limb is supported properly to prevent any strain or discomfort. Supporting the arm above and below the elbow helps maintain the joint in a stable position while facilitating the movement of the wrist and shoulder, allowing for effective exercise while minimizing the risk of injury. The use of proper support is essential, as insufficient support can lead to muscle strain or joint subluxation during the exercises. Recognizing and validating the wife's technique promotes her confidence in facilitating care for her husband, which is critical for maintaining his compliance and comfort during the rehabilitation process. By reinforcing her correct method, it may also encourage the wife to participate more actively in the care of her husband.