A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will decrease vasodilation and reduce localized swelling?

Injection of a steroid into the joint space

Elevation of the extremity

Warm compresses

Ice bag

Answer and Explanation

The Correct Answer is D

A. Injection of a steroid into the joint space: Steroid injections reduce inflammation but are typically reserved for chronic conditions or severe joint inflammation. They are not an immediate first-line treatment for acute injuries like ankle sprains.
B. Elevation of the extremity: Elevation helps reduce swelling by promoting venous return, but it does not directly cause vasoconstriction. While beneficial, it works best in combination with cold therapy to reduce acute inflammation.
C. Warm compresses: Applying heat increases blood flow through vasodilation, which can worsen swelling in an acute injury. Warm compresses are more appropriate for chronic pain or stiffness, not fresh trauma.
D. Ice bag: Cold therapy causes local vasoconstriction, which helps limit bleeding and fluid accumulation. Applying an ice bag within the first 24–48 hours after injury effectively reduces swelling and pain by slowing the inflammatory process.

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Correct Answer is C

Explanation

A. Pasta: While pasta may contain small amounts of potassium, it is not considered a significant source. It is primarily a carbohydrate and not beneficial for potassium replacement in clients on diuretics like furosemide.
B. Coffee: Coffee contains minimal potassium and may have diuretic properties of its own, which could further contribute to fluid and electrolyte loss. It is not an appropriate choice for potassium supplementation.
C. Peanut butter: Peanut butter is a good dietary source of potassium. Including potassium-rich foods like peanut butter helps prevent hypokalemia, a common side effect of furosemide due to increased urinary potassium excretion.
D. Angel food cake: Angel food cake is low in potassium and mainly composed of sugar and egg whites. It does not offer nutritional value for managing electrolyte balance in clients taking loop diuretics.

A. Listen to music B. Take a cool shower or bath C. Progressively tighten muscles D. Use rapid respirations E. Visualize a relaxing place F. Smoke a cigarette

Correct Answer is ["A","B","C","E"]

Explanation

A. Listen to music: Music therapy is a well-established technique to promote relaxation and lower stress levels. It can help shift focus away from anxious thoughts and create a calming environment.
B. Take a cool shower or bath: A cool shower provides sensory stimulation that can ground the individual and redirect anxious energy. This strategy can help soothe the nervous system and reduce arousal.
C. Progressively tighten muscles: Progressive muscle relaxation involves tensing and relaxing muscle groups to relieve physical tension. It is effective in reducing anxiety by promoting body awareness and calm.
D. Use rapid respirations: Rapid breathing worsens anxiety symptoms and may lead to hyperventilation. Controlled, deep breathing is preferred as it activates the parasympathetic nervous system and calms the body.
E. Visualize a relaxing place: Guided imagery or visualization helps transport the mind to a peaceful setting, which reduces stress and promotes mental relaxation. It is often used in cognitive-behavioral therapy for anxiety.
F. Smoke a cigarette: Nicotine is a stimulant and while some individuals may feel a temporary sense of relaxation, smoking introduces harmful substances and reinforces maladaptive coping. It also increases cardiovascular strain, which can worsen anxiety symptoms over time.

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A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will decrease vasodilation and reduce localized swelling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is taking furosemide for the treatment of heart failure. What food should the nurse suggest that is rich in potassium?

Correct Answer is C

Explanation

A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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