Delegation Hint {Ans: - If the answer starts with "assess" it is the nurses duty and cannot be delegated}Continuous Passive Motion after total knee arthroplasty {Ans: - should be turned off during meals - maintains extremity in a neutral alignment - provider or PT prescribes the proper settings, client should not adjust these for comfort - DO NOT store under bed or on floor when not in use}Heparin {Ans: - Look at aPTT lab values; Normal aPTT: 25-35 sec - Continuous infusion: aPTT of 60-80 sec (1.5-2 x normal lvl)}Electroconvulsive Therapy (ECT) {Ans: - Most common adverse side effect: short term memory loss}Appendicitis {Ans: - Sudden pain relief indicates peritonitis from a ruptured appendix}Digital evacuation of stool {Ans: - lubricated finger advances along rectal wall - DO NOT stimulate the vagal nerve--> can cause dysrhythmias - side lying position w knees flexed}Moving a pt up in bed {Ans: - lower side rails - put bed in a high position to avoid back strain - pt can assist by flexing their knees and pushing their heels into the bed while being lifted - DO NOT GRASP PT UNDER ARMS WHEN LIFTING--> can cause shoulder