The patient's plan of care includes using the continuous passive motion (CPM) machine. Which statement indicates the patient needs for further teaching?
"I can make my new knee stronger if I reset this thing to go faster and flex my knee more.
"I marched in the Marines for 20 years, and now I'm marching flat on my back?"
"I almost wish this CPM ran at night. The motor noise is soothing"
"My new knee will be glad to rest at night."
The Correct Answer is A
A. The CPM machine settings should be controlled by healthcare providers or according to prescribed protocols. Patients should not adjust speed or flexion angle independently, as improper settings can cause injury or impede healing.
B. This statement shows humor but does not indicate misunderstanding of CPM use.
C. Finding the motor noise soothing is acceptable and does not indicate a need for further teaching.
D. Allowing the knee to rest at night is appropriate; CPM use is typically during the day or as directed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Warm compresses should notbe applied during the first 24 hours after a sprain, as they can increase swelling and inflammation. Cold therapy (ice) is recommended initially.
B. Ice packs should be applied for 20–30 minutes at a time with equal periods off to reduce swelling and pain.
C. Elevating the leg helps reduce swelling by promoting venous return.
D. Wrapping the ankle provides support and compression, which are part of initial sprain management.
Correct Answer is ["167"]
Explanation
Use the formula to calculate flow rate in drops per minute:
Flow rate (gtt/min) = (Volume to be infused × Drop factor) ÷ Time (in minutes)
Substitute the values:
Flow rate = (250 mL × 20 gtt/mL) ÷ 30 min
Flow rate = 5000 ÷ 30
Flow rate ≈ 166.67
Round to the nearest whole number: 167 gtt/min
Final Answer:167 gtt/min
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