The nurse is preparing to check joint mobility for an assessment of a 73-year-old client. To check range of motion of the knees, the nurse:
1. Seats the client and extends the knee as far as it will go.
2. Places the client prone and gently lifts the entire leg.
3. Instructs the client to alert the nurse of any pain.
4. Instructs the client to alert the nurse to severe pain.
3. Instructs the client to alert the nurse of any pain.
Rationale:
The position for assessing lower joint mobility is prone, so seating the client would not be appropriate. While it is correct to place the client in the prone position, the elderly client may not be able to assume that position comfortably. The nurse instructs the client to alert the nurse at the first sign of discomfort when checking range 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 nurse does not cause severe pain to the client during assessment.
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