After a knee replacement, an 87-year-old patient rejects the use of the continuous passive motion (CPM) machine, saying, "I did not march when I was a child, and I am not marching now

" What benefits of CPM should the nurse point out to encourage patient use? a. Decrease in pain
b. Increase in circulation in the new joint
c. Increase in leg strength
d. Increase in flexibility for the new joint


D
The CPM machine's major benefit is to increase flexibility, although it does cause discomfort. No strength-building potential is present with passive motion.

Nursing

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A patient in the rehabilitation phase after a CVA accidentally knocks the adapted plate from the table and bursts into tears after failing to feed himself. What is the best response by the nurse?

a. "Don't cry. You'll be mastering eating in no time." b. "I don't believe crying will help. Let's try drinking from a special cup." c. "Bless your heart! Let me get a new meal and feed you." d. "Learning new skills is hard. Let's see what may have caused the trouble."

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What is best for a nurse to offer when encouraging a new patient after a tonsillectomy to increase fluids?

a. Chilled citrus juices b. Tap water sipped through a straw c. Flavored popsicles to suck d. Ice cubes

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A patient who is receiving pain medication around the clock complains of an acute exacerbation of pain. What should the nurse do to help this patient?

1. Provide the medication ordered for breakthrough pain. 2. Talk the patient through the pain. 3. Encourage the patient to ignore the pain. 4. Give the patient a nonsteroidal anti-inflammatory drug (NSAID).

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