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 C
Explanation
A. A greenstick fractureis a partial fracture common in children and does not break the skin, so it carries a low risk of infection.
B. Stress fracturesare tiny cracks in the bone from repetitive force and are closed fractures, not typically associated with infection risk.
C. A compound fracture(also called an open fracture) involves a break in the skin, exposing the bone and surrounding tissue to the external environment, which significantly increases the risk of infection.
D. A spiral fractureis caused by a twisting force and can be suspicious for abuse in children, but unless the skin is broken, it does not inherently pose a high risk for infection.
Correct Answer is B
Explanation
A. Checking pulses is a key part of a neurovascular assessment to evaluate circulation.
B. Pupils are part of a neurological assessment related to brain function, not peripheral neurovascular status of a limb, so this indicates the student needs further teaching.
C. Assessing movement is essential to check motor function and nerve integrity in the affected limb.
D. Capillary refill assesses peripheral circulation and is important in neurovascular checks.
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