The nursing assistant is providing passive ROM to the right shoulder when the resident suddenly develops the following signs and symptoms: grimacing with movement, a loud popping sound in the shoulder, and resistance to movement. What action should the nursing assistant take first?

Question

Quizplus · Accepted Answer

The nursing assistant faces the resident and observes for signs and symptoms that the resident is not tolerating the ROM to the right shoulder. Upon the sudden changes noted, ROM should be stopped immediately, and the right arm gently placed back on pillows and supports. This must be the first action to prevent further damage to the shoulder joint. Then the nursing assistant would tell the nurse the observations and action taken. The nurse will need to further assess the resident before further ROM is provided. If the nursing assistant continued moving the shoulder through passive ROM, further damage could occur to the joint and increased pain to the resident.

The Nursing Assistant Is Providing Passive ROM to the Right