Nurse Wayne is observing a licensed practical nurse (LPN) preparing a client for treatment with a continuous passive motion (CPM) machine. Which observation by the RN would indicate that the PLN is performing an incorrect action?
a. Places the client’s knee in a slightly externally rotated position
b. Keeps the client’s knee at the hinged joint of the machine
c. Assesses the client for pressure areas at the knee and the groin
d. Checks the degree of extension and flexion and the speed of the CPM machine per the physician’s orders
Answer A. In the use of a CPM machine, the leg should be kept in a neutral position and not rotated either internally or externally.
The knee should be positioned at the hinge joint of the machine.
The nurse should monitor for pressure areas at the knee and the groin and should follow the physician’s orders and institutional protocol regarding extension and flexion and speed of the CPM machine.
a. Places the client’s knee in a slightly externally rotated position
b. Keeps the client’s knee at the hinged joint of the machine
c. Assesses the client for pressure areas at the knee and the groin
d. Checks the degree of extension and flexion and the speed of the CPM machine per the physician’s orders
Answer A. In the use of a CPM machine, the leg should be kept in a neutral position and not rotated either internally or externally.
The knee should be positioned at the hinge joint of the machine.
The nurse should monitor for pressure areas at the knee and the groin and should follow the physician’s orders and institutional protocol regarding extension and flexion and speed of the CPM machine.
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Effective Care Environment