The nurse has just begun testing range of motion in a patient's right knee when the patient says, "That really hurts."

Which interventions should be implemented? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Continue to try to achieve normal ROM.
2. Stop the test on that joint.
3. Massage the knee for 20 minutes.
4. Call the health care provider.
5. Test ROM in the left knee and compare findings.


2,5
Rationale 1: Pain indicates ROM limitation.
Rationale 2: When pain occurs, ROM has been tested, so further attempts to increase ROM are not indicated.
Rationale 3: Massaging the knee may cause further pain and discomfort to the patient and has no therapeutic benefit at this time.
Rationale 4: The extent of ROM should be documented, but there is no reason to call the health care provider at this point.
Rationale 5: ROM should be compared on both sides of the body.

Nursing

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