The nurse is providing range-of-motion exercising to the client's elbow when the client complains of pain. What action should the nurse take?
1. Stop immediately and report the pain to the client's physician.
2. Discontinue the treatment and document the results in the medical record.
3. Reduce the movement of the joint just until the point of slight resistance.
4. Continue to exercise the joint as before to loosen the stiffness.
Correct Answer: 3
Rationale 1: Stopping the treatment is not justified until an assessment occurs.
Rationale 2: Stopping the exercises is not justified until an assessment occurs.
Rationale 3: Range-of-motion exercising should never cause discomfort. In this case, the best action is to reduce the movement of the joint just until the point of slight resistance is felt and evaluate the pain response at that level. If there is no pain, the exercise can be continued.
Rationale 4: Continuing at the same level of intensity may cause damage to the joint as well as cause the client pain.
You might also like to view...
The physician orders 100 mL lactated Ringer solution to be infused at 20 gtt/min. The administration set delivers 60 gtt/mL. How long will it take to infuse the IV? _______________
a. 3 hr and 30 min b. 5 hr c. 4 hr d. 1 hr and 45 min
Principles of communication allow nurses to adapt to which of the following trends?
a. Generation X c. Telephone technology b. Cultural diversity d. Kinesthetic communication
The nurse multiplies and divides simple fractions when calculating drug doses for clients. Which of the following fractions occur when multiplying 2/5 by 5/8?
A) 16/25 B) 1/4 C) 4 D) 2/5
When performing the Heimlich maneuver, your hands should be placed
A. on the diaphragm. B. immediately below the ribcage. C. slightly above the navel. D. on the lower abdomen.