The nurse is assessing an older adult client during a routine health maintenance visit. To assess the client's range of motion of the knees, which action by the nurse is appropriate?
A) Seat the client and extend the knee until the client alerts the nurse of severe pain.
B) Seat the client and instruct to alert the nurse of any pain.
C) Place the client prone and gently lift the entire leg.
D) Have the client stand and extend the knee as far as it will go.
Answer: B
To assess the range of motion of the knees the client should be placed in a sitting position. The nurse will instruct the client to alert the nurse at the first sign of discomfort when checking range of motion of the knee. Seating the client is appropriate, but the knee is not forced beyond the pain limit. Placing the client prone and lifting the entire leg checks the range of the hips. The client will not be asked to stand when assessing range of motion of the knees.
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