A nurse is assisting with the admission of a client who has multiple sclerosis.
Which of the following actions is the priority for the nurse to take?

Choice A rationale

Aligning the client's joints with the joints on the CPM device frame ensures proper movement and prevents injury or discomfort. Correct alignment is crucial for effective therapy and to avoid strain on the joints.

Choice B rationale

High-Fowler's position is typically used for respiratory issues and does not align with the use of a CPM device for knee arthroplasty. Proper positioning is essential for the device's function.

Choice C rationale

Using a thick pillow to pad the CPM device could interfere with the device's movement and efficacy. Proper padding should ensure comfort without hindering the machine's operation.

Choice D rationale

Setting the degree of flexion and extension as tolerated by the client is important, but it should be done under medical guidance to ensure therapeutic benefits and avoid injury. Alignment is the primary concern.

Choice A rationale

Ensuring the weights hang freely prevents interference with the traction, which helps maintain alignment and reduce pain.

Choice B rationale

Maintaining 6.8 kg (15 lb) of weight is not specific to skin traction and could be inappropriate, as the weight should be based on the physician's orders.

Choice C rationale

Loosening the ropes of the pulleys when repositioning the client can interfere with the effectiveness of the traction.

Choice D rationale

Inspecting the client's skin every 12 hours for signs of breakdown is not frequent enough; skin should be checked more often to prevent complications.