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

[Mollykgkg]

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 teaching a client on the use of a cane. What should the nurse include in this teaching?
 
  1. Hold the cane on the weaker side of the body.
  2. Move the cane forward while the body weight is between both legs.
  3. The length of the cane should permit the elbow to be fully extended.
  4. Move the weaker leg forward while the weight is between the cane and the stronger leg.
  5. Move the stronger leg forward while the weight is between the cane and the weaker leg.

[ebonylittles]

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, 4, 5

Rationale 1: The can should be held on the stronger side of the body to provide maximum support and appropriate body alignment while walking.

Rationale 2: The cane should be moved forward while the body weight is borne by both legs.

Rationale 3: The length should permit the elbow to be slightly flexed.

Rationale 4: The weaker leg is moved forward while the weight is borne by the cane and stronger leg.

Rationale 5: The stronger leg is moved forward while the weight is borne by the cane and weak leg.

[Mollykgkg]

Excellent

[Dinolord]

TYSM