Florida Nursing Assistant Competency Pracrice Exam

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What is the key method for preventing contractures in a client?

  1. Providing ROM exercises

  2. Using a heating pad

  3. Keeping the limbs immobile

  4. Massaging the joints

The correct answer is: Providing ROM exercises

The key method for preventing contractures in a client is providing range of motion (ROM) exercises. ROM exercises are critical because they help maintain and improve joint flexibility, which can be compromised due to prolonged immobility or inactivity. Contractures occur when the muscles, tendons, or other tissues shorten or tighten, leading to a permanent limitation in joint movement. By regularly performing ROM exercises, nursing assistants can help to prevent this shortening of soft tissues and ensure that the client retains as much mobility as possible. Engaging in ROM activities encourages circulation, reduces stiffness, and promotes overall physical function, which are essential components of preventative care in patients who may be at risk for contractures, such as those who are bedridden or have limited mobility. Keeping the limbs immobile would actually increase the risk of developing contractures, while using a heating pad or massaging the joints may provide temporary comfort but does not offer a consistent method for preventing contractures effectively.