Clinical Assessment Preparation

CPNE Study Guide

Perform assigned exercise Utilize proper technique

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 Instruct patient to perform assigned exercise • Instruct the patient with Active ROM on the 3 joints of the assigned extremity using pronation/supination or adduction/abduction *or* • Perform Passive ROM on the 3 joints of the assigned extremity using pronation/supination or adduction/abduction supporting the weight of the extremity • Perform a minimum of two repetitions for each major joint • Apply supportive or therapeutic devices if ordered/indicated [e.g., splints, slings, immobilizers, traction, braces, continuous passive motion (CPM)] • Apply heat or cold to the extremity if ordered:  Protect skin  Apply to designated body part  Apply at designated temperature  Maintain treatment for a maximum of 15 minutes unless otherwise assigned • Maintain traction:  Verify prescribed weight  Ensure rope is unobstructed  Ensure the weights hang freely  Positioning the patient to provide counter traction  Maintain patient in correct alignment • Activity  Prepare for activity (e.g., dangle legs, consider vital signs)  Support affected parts of body  Provide patient with identified assistive device  Position chair/bed/commode for safe transfer  Use intervention to prevent shearing of skin  Move patient to a different position  Use external device to keep patient in desired position • Evaluate joint mobility • Evaluate pain with movement • Document:  Education provided  Learner understanding of education provided  Morse Fall Scale Score  Morse Fall Scale Risk Level (No Risk, Low Risk, High Risk)  Assessment data for assigned extremity(ies) • Appearance • Muscle strength • Joint mobility • Symptoms  Nursing interventions implemented  Fall prevention

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