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

Answer: D

Explanation:

Perform a range of motion exercise on the right leg and report the findings.

The appropriate action for the nursing assistant (NA) is to perform range of motion (ROM) exercises on the right leg and report the condition of the swollen knee. This targeted approach allows for monitoring and assessment of the affected area while ensuring that any changes can be communicated effectively.

A) do both legs & report

This option is incorrect because performing ROM exercises on both legs may exacerbate the condition of the swollen knee. Focus should be on the affected leg to avoid unnecessary strain and to accurately assess the specific issue.

B) abduction only & report

This option is not appropriate as it limits the range of motion to just abduction. The nursing assistant should conduct a full assessment of the right leg through a complete range of motion rather than focusing solely on one movement.

C) flex left only & report

This choice is incorrect as it involves performing flexion on the left leg, which is not relevant to the condition of the swollen knee on the right leg. It fails to address the immediate concern and does not provide necessary information about the affected knee.

D) do right leg & report

This option is correct because it involves performing range of motion exercises specifically on the right leg, where the swelling and redness are present. This targeted intervention allows for proper assessment and documentation of the condition.

Conclusion

In summary, option D is the only choice that directly addresses the issue of the swollen knee by focusing on the affected leg. The other options either involve unnecessary movement of the unaffected leg or do not appropriately assess the condition of the right leg. Thus, performing ROM on the right leg and reporting findings is essential for effective patient care.