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Red, hot, swollen knee before ROM—NA should:

From CNA Basic Nursing Skills Practice Test

Answer choices

  1. A do both legs & report
  2. B abduction only & report
  3. C flex left only & report
  4. D do right leg & report

Correct answer: D. do right leg & report

Clinical Rationale

Do right leg & report.

In the context of a red, hot, and swollen knee, it is crucial to assess the affected area specifically, which in this case is the right leg, before any range of motion (ROM) activities are performed. This focused approach allows for accurate evaluation and ensures that any underlying issues are addressed promptly.

A) Do both legs & report

Assessing both legs may complicate the evaluation process, particularly when one leg shows clear signs of inflammation and the other does not. It is essential to concentrate on the affected knee to accurately identify any specific issues related to the swelling, heat, and redness, thus making this option less appropriate.

B) Abduction only & report

Focusing solely on abduction does not provide a comprehensive assessment of the affected knee. The signs of inflammation suggest that any movement should be approached with caution, and a broader examination of the entire knee joint is necessary to determine the extent of the issue before performing specific ROM actions.

C) Flex left only & report

Flexing the left knee is irrelevant in this scenario, as the problem lies with the right knee. This option neglects the necessary evaluation of the right leg's condition, failing to address the swelling and inflammation that require monitoring and reporting before any movement is initiated.

D) Do right leg & report

Focusing on the right leg allows for a targeted assessment of the knee exhibiting symptoms such as redness, heat, and swelling. This approach ensures that the evaluation is directly relevant to the clinical presentation and allows for appropriate reporting and subsequent management.

Conclusion

In any clinical assessment involving a symptomatic joint, prioritizing the affected area is essential for accurate diagnosis and treatment. The right leg should be the focus for evaluation due to the observed symptoms, while the other options either dilute the focus or address irrelevant areas. Proper reporting on the condition of the right knee can lead to timely interventions, ensuring patient safety and effective care.

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