The nurse is caring for a client who is weak from inactivity because of a 2-week hospitalization

• A. Encourage bed rest with no ROM
• B. Passive ROM exercises for the arms only
• C. Walking laps around the unit
• D. Active ROM exercises to both arms and legs two or three times a day

Answer: (D)

The main idea is preventing complications from immobility by starting movement that matches the patient’s ability. When someone has been inactive for a while, muscles weaken quickly and joints stiffen, so engaging in movement helps preserve strength, flexibility, and circulation.

Active ROM for both arms and legs two to three times a day is the best choice because the patient actively moves their own joints and muscles, promoting ongoing strength and joint mobility across the whole body. This level of activity helps prevent muscle atrophy, contractures, and circulatory issues that come with bed rest. Doing both upper and lower extremities ensures no area lags in conditioning, and the two-to-three times daily frequency provides regular stimulation without overexertion.

Bed rest with no ROM would worsen deconditioning. Passive ROM for the arms only won’t build leg strength or overall endurance. Walking laps could be helpful if the patient tolerates it, but passive movement alone doesn’t engage muscle as effectively, and if strength is very low, it may not be safe or feasible yet. Active ROM across all major joints offers the most balanced, progressive start for someone recovering from inactivity.