A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
A.
Turn the CPM machine off while the client is eating.
B.
Store the CPM machine on the floor when not in use.
C.
Check the settings of the CPM machine every 12 hours.
D.
Increase the range of motion rapidly when the CPM machine is used intermittently.
The correct answer and Explanation is :
The correct answer is A. Turn the CPM machine off while the client is eating.
Explanation:
Continuous Passive Motion (CPM) machines are used following joint surgeries, such as total knee arthroplasty, to promote joint healing and improve range of motion. These machines provide a controlled, repetitive movement of the joint to help prevent stiffness and maintain flexibility.
Turning the CPM machine off while the client is eating is important for several reasons:
- Safety and Comfort: During meals, it is essential for the client to be comfortable and not distracted by the machine. The CPM machine can cause discomfort or distraction if the client is eating, and turning it off ensures the client can focus on their meal without any discomfort.
- Preventing Disruption: Eating requires the client to be seated in a stable position, which may be different from the position needed for the CPM machine to function optimally. Turning the machine off prevents unnecessary strain or interference with the meal.
- Hygiene: It is important to maintain hygiene during meals. Turning off the CPM machine prevents potential food contamination and ensures that the machine does not come into contact with any food.
Reasons why the other options are not appropriate:
- B. Store the CPM machine on the floor when not in use. Storing the CPM machine on the floor is not ideal due to the risk of contamination or damage. The machine should be stored on a clean, dry surface to maintain its function and hygiene.
- C. Check the settings of the CPM machine every 12 hours. The settings of the CPM machine should be checked more frequently, ideally according to the prescribed schedule or any changes in the client’s condition. Regular monitoring ensures the machine is functioning correctly and provides the appropriate range of motion.
- D. Increase the range of motion rapidly when the CPM machine is used intermittently. The range of motion should be increased gradually to prevent injury and ensure the client’s safety. Rapid increases in the range of motion can lead to joint damage or discomfort.
In summary, turning off the CPM machine during meals ensures the client’s comfort, safety, and proper hygiene, which are essential for optimal recovery and overall well-being.