Answer Choices:
Passive range-of-motion exercises to lower extremities performed once each day.
Passive ROM once daily — This requires intervention because it is insufficient to prevent contractures; passive ROM should be performed several times a day.
Plantar flexion contractures — This indicates complications have already developed due to inadequate ROM or lack of support devices (e.g., footboards, splints). Intervention is needed to prevent worsening.
Nonblanchable erythema on heel — This is Stage 1 pressure injury and needs immediate intervention (e.g., offloading pressure, protective dressings) to prevent breakdown.
Repositioning every 2 hr — This is appropriate and does not require intervention.
Feet are warm, pedal pulses +2 bilaterally — This indicates adequate circulation, no intervention required.
This question is from ATI PN Fundamentals Online Practice 2023 A which contains 59 questions.
Answer Choices:
Answer Choices:
Answer Choices:
Answer Choices:
Answer Choices:
