Which action by the LPN requires follow-up from the RN when preparing a client for a CPM machine?

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When preparing a client for a Continuous Passive Motion (CPM) machine, placing the knee in a slightly externally rotated position is not the standard practice. For optimal alignment and to ensure the effectiveness of the CPM machine, the knee should generally be positioned in a neutral or slightly flexed position rather than externally rotated. This position allows for correct joint mechanics during passive motion and can help prevent complications, such as improper movement patterns that may lead to joint stiffness or injury.

The role of the LPN in monitoring and preparing patients for equipment like a CPM machine is significant, but any deviations from established protocols, such as the incorrect positioning of the knee, necessitate follow-up by the RN. The RN has the responsibility to ensure that all preparations align with therapeutic protocols to promote optimal healing and patient safety.

In this context, specific follow-up on the positioning is critical to prevent any adverse effects on the patient's recovery trajectory post-surgery or injury. Other options, like checking the degree of extension and flexion, assessing for pressure areas, or ensuring the knee is at the hinged joint of the machine, are all appropriate actions and align with the essential safety and effectiveness considerations for utilizing a CPM machine.

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