A client has a continuous passive motion (CPM) device after a total knee replacement. What action does the nurse delegate to the unlicensed assistive personnel (UAP) after the affected leg is placed in the machine while the client is in bed?
a. Assess the distal circulation in 30 minutes.
b. Change the settings based on range of motion.
c. Raise the lower siderail on the affected side.
d. Remind the client to do quad-setting exercises.
ANS: C
Because the client's leg is strapped into the CPM, if it falls off the bed due to movement, the client's leg (and new joint) can be injured. The nurse should instruct the UAP to raise the siderail to prevent this from occurring. Assessment is a nursing responsibility. Only the surgeon, physical therapist, or specially trained technician adjusts the CPM settings. Quad-setting exercises are not related to the CPM machine.
You might also like to view...
Which clinical presentation is associated with the most commonly diagnosed adjustment disorder (AD)?
1. Anxiety, feelings of hopelessness, and worry 2. Truancy, vandalism, and fighting 3. Nervousness, worry, and jitteriness 4. Depressed mood, tearfulness, and hopelessness
The nurse provides a seminar on the impact of the sun on the skin with a group of older community members. Which statement indicates that additional teaching is necessary?
1. "Sunscreen is important to wear during all daytime hours." 2. "The sun should be avoided between the peak hours of 10 a.m. and 4 p.m." 3. "African Americans can experience sun damage despite the dark skin tones." 4. "The melanocytes in the subcutaneous tissue protect the skin from sun damage."
When the patient asks why systemic glucocorticoids are used as a last choice for the treatment of rheumatoid arthritis, the nurse's most informative reply would be:
1. "The other drugs are just as effective and work in similar ways." 2. "They are used as a last choice or for short periods because they have many side effects." 3. "Those drugs are given three or four times daily, which is more difficult for pa-tients to remember." 4. "There is a higher incidence of vomiting with prolonged use."
A health care provider prescribes iron supplements (Fer-In-Sol), 1 mg/kg/day orally (PO). The infant weighs 5 kg. The medication label states: "Fer-In-Sol 25 mg/1 ml." The nurse prepares to administer one dose
How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place. ________________