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The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:

raise the head of the bed to 30 to 45 degrees.

elevate the machine at the foot of the bed on one pillow.

set the proper flexion and extension limits.

keep the operated knee warm.

Answer and Explanation

The Correct Answer is C

A. Raise the head of the bed to 30 to 45 degrees.

While head elevation for comfort is acceptable, it is not the primary responsibility for CPM care.

B. Elevate the machine at the foot of the bed on one pillow.

The CPM machine should lie flat along the bed frame. Elevation on a pillow can cause misalignment or malfunction.

C. Set the proper flexion and extension limits.

The nurse must confirm that the machine is set according to the provider's orders for proper range of motion and to prevent injury.

D. Keep the operated knee warm.

While comfort is important, this is not a priority of CPM machine care and doesn't directly relate to its function.

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Correct Answer is B

Explanation

B. True

Skeletal traction involves the surgical placement of hardware (e.g., pins, wires) directly into bone to apply a constant pulling force for fracture alignment or immobilization

A. Log rolling every 2 hr B. Passive range-of-motion exercises of the right leg C. Active range-of-motion exercises of the left leg D. Isometric exercises of both legs

Correct Answer is D

Explanation

A. Log rolling every 2 hr

Log rolling is appropriate for spinal precautions, not necessary in Buck’s traction.

B. Passive range-of-motion exercises of the right leg

The leg in traction must remain immobilized; no ROM exercises on the affected leg.

C. Active range-of-motion exercises of the left leg

While this can help prevent deconditioning, it’s not as effective for overall mobility as isometric exercises.

D. Isometric exercises of both legs

Isometric exercises (e.g., quad or glute squeezes) promote circulation and prevent muscle atrophy in both limbs without disturbing traction.

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The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Please indicate whether the following statement is true or false. Skeletal traction may require surgical placement of pins, tongs, screws, or wires anchored to a bone.

Correct Answer is B

Explanation

A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has had paraplegia for several years. Which of the following physiologic changes due to immobility should the nurse consider when evaluating this client's overall status? (Select all that apply.)

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:

The nurse working with immobilized patients understands that monitoring for reports of pain with urination, changes in urination, and assessing fro frequency is essential in order to determine if an unwanted urinary problem is arising from her patient being immobile.

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

Please indicate whether the following statement is true or false. Air fluidized beds use tiny metal beads that are contained within the bed under a flexible, air-permeable filter sheet.

A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

The nurse is aware that the maximum weight that can be applied with a skin traction is