The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?
To control pain
To relieve foot swelling
To strengthen leg muscles
To restore joint function
The Correct Answer is D
Choice A reason: While controlling pain is a benefit, it is not the primary purpose of a CPM machine.
Choice B reason: Relieving foot swelling is not the main function of a CPM machine.
Choice C reason: Strengthening leg muscles is not the direct purpose of a CPM machine; it is designed to move the joint without the patient's muscles being used.
Choice D reason: The primary purpose of a CPM machine is to restore joint function by moving the joint through a prescribed range of motion, often after surgery, to prevent stiffness and increase circulation.
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Correct Answer is C
Explanation
Choice A reason:
Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.
Choice B reason:
Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.
Choice C reason:
Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.
Choice D reason:
Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.
Correct Answer is D
Explanation
Choice A reason: Ensuring the patient has no questions before signing the consent is a standard and appropriate practice.
Choice B reason: A nurse can witness the patient's signature on the consent form, which is a normal procedure.
Choice C reason: Consent is not universally good for 30 days; it is specific to the procedure and timing, and this statement could mislead and cause legal issues.
Choice D reason: Saying that informed consent protects the hospital from all lawsuits is incorrect and could lead to a false sense of security, as informed consent is about patient autonomy, not just legal protection.
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