Final answer:
Nurses must ensure the proper use of the Continuous Passive Motion (CPM) machine following a total knee arthroplasty, verify the alignment of the knee prosthetic components during surgery, and monitor the patient's recovery, checking equipment and confirming critical procedures with the healthcare team.
Step-by-step explanation:
CPM Machine and Total Knee Arthroplasty Nursing Care
Following a total knee arthroplasty, or knee replacement surgery, a Continuous Passive Motion (CPM) machine may be used to aid in the patient's recovery. A nurse plays a crucial role in ensuring the patient's well-being while using the machine. Nurses need to confirm the proper alignment of the knee prosthetic components as improper alignment can lead to poor function of the replaced joint. This is typically done by the surgical team during the surgery using specific techniques and tools to ensure that the components fit well and that the leg's mechanical axis is appropriately restored.
Post-operation, nurses should review key concerns with the healthcare team which includes confirming the patient's identity, surgical site, and the procedure completed. They should also ensure that the needle, sponge, and instrument counts are accurate, check that specimens are correctly labeled, and address any equipment issues. During the patient's recovery, nurses should monitor for sterility, availability of equipment, and oversee the patient's use of the CPM machine, adjusting settings as prescribed by the physician, and ensuring the patient's comfort and safety.