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 nurse knows that being able to tell time helps a child become more independent. At which age should the nurse expect a school-age child to begin to tell time?
A) 6 years old B) 7 years old C) 8 years old D) 9 years old
When a client who is in need of a lung transplant is placed on the organ donor registry according to his current health needs, this is an example of ethical:
1. Justice 2. Fidelity 3. Beneficence 4. Nonmaleficence
A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the patient may require
a. emergent cardioversion. b. a cardiac catheterization. c. hourly blood pressure (BP) checks. d. electrocardiographic (ECG) monitoring.
Place soiled linen in a covered ____________________.
Fill in the blank(s) with the appropriate word(s).