The nurse is delegating the performance of passive range of ...

[tingc95]

The nurse is delegating the performance of passive range of motion to the unlicensed assistive personnel (UAP). For which client would it not be appropriate to delegate this task to the UAP?
 
  1. Client who has been a quadriplegic for 3 years
  2. Unconscious client following excision of a brain tumor 2 days ago
  3. Client in rehabilitation center recovering from a CVA
  4. Client in a chronic vegetative state following a motor vehicle crash

Question 2

The nurse caring for several clients could safely delegate which task to the unlicensed assistive personnel (UAP)?
 
  1. Initial application of the continuous positive motion (CPM) device to the postoperative client
  2. Assessment of client's tolerance for passive range of motion
  3. Documentation of joint improvement resulting from active range of motion
  4. Performance of passive range of motion to client experiencing a CVA 2 weeks ago

[JCABRERA33]

Answer to Question 1

Correct Answer: 2

The client who is unconscious following recent brain surgery is at risk for increased intercranial pressure, so passive range of motion should be performed only while constantly assessed for signs of increased pressure. This client could not be safely delegated to a UAP. The remaining clients could be safely delegated to the UAP.

Answer to Question 2

Correct Answer: 4

The UAP can safely perform passive range of motion on a stable client if educated in the skill. Initial application of the CPM, and assessing a client's tolerance or progress, must be performed by the nurse.