Restorative CareQuestion 119 of 200
A bedbound resident has not had ROM exercises for several days. The CNA notices the resident's fingers are curling tightly toward the palm and cannot be opened easily. This finding is MOST consistent with:
a.A contracture caused by lack of movement and disuse
b.Normal aging changes that require no intervention
c.A sign of improvement in muscle strength
d.An expected response to bedrest that will reverse spontaneously
Explanation
A contracture is permanent shortening of muscles, tendons, or joint capsules due to immobility, leading to a fixed deformity. It is a preventable complication; once established, it severely limits function and hygiene. 42 CFR §483.25(c) states a resident with limited ROM must receive appropriate treatment and services to increase ROM or prevent further decrease. Aging alone does not cause contractures (b). It is not strength (c) and does not reverse on its own (d). The CNA must report and document immediately so the nurse can adjust the care plan.
Law Reference: 42 CFR §483.25(c); Title 22 CCR §72315Practice all 200 questions free — no signup required.
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