The nurse is providing range of motion exercising to the client's ...

[misspop]

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.

Question 2

The nurse is assisting a newly delivered mother ambulate to the nursery to see the baby. The client complains of light-headedness and begins to faint. What is the nurse's most important action?
 
  1. Ensure the client's modesty as she falls.
  2. Be certain the client does not hit the head on anything.
  3. Call for immediate assistance.
  4. Check the vital signs and for excessive vaginal bleeding.

[momtoalll]

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 2
Rationale 1: This is not the priority for the nurse at this time.
Rationale 2: All of these actions are important, but the priority is ensuring the client does not strike her head on anything when falling. The nurse should ease the client down while supporting her body against the nurse, protecting the head and laying it gently on the floor.
Rationale 3: This is important however does not address that the client is falling.
Rationale 4: This is important to do after the client has been assisted to the floor.

[misspop]

Excellent

[Joy Chen]

Gracias!