The nursing assistant is caring for a client who is in the subacute phase of rehabilitation. The nursing assistant follows the nursing care plan and removes the splint (supportive device) and provides range of joint motion (ROJM) exercises as taught by the physical therapist. The joint has stiffness and swelling and a reddened area where the splint was. What is the best action for the nursing assistant to take?

Question

Quizplus · Accepted Answer

The best action the nursing assistant should take is to immediately report that the joint has stiffness, which may be the beginning of a contracture, or shortening of the ligament. Also, the observation of the skin breakdown where the splint or supportive device has been rubbing the skin should be reported. Replacing the supportive device too loosely defeats its purpose to provide support and correct alignment to prevent contractures. Providing additional force when moving joints may result in permeant damage. The nursing assistant needs an order from the nurse to apply hot or cold therapy. Application of ice in this case is not necessary. The redness and edema in the area is a result of the supportive device placing too much pressure on the skin.

The Nursing Assistant Is Caring for a Client Who Is