A client asks a nurse how long a heat application should be left in place. Which response should the nurse make?

“Maximum benefits occur within the first five minutes.”.

“Therapeutic heat effects occur within 20 to 30 minutes.”.

“The heat should be left in place for at least one hour to be effective.”.

“Heat can be left in place for as long as 12 hours without harmful effects.”.

Answer and Explanation

The Correct Answer is B

Heat application increases blood flow and reduces muscle spasms, which can help relieve pain and promote healing. However, heat should not be applied for longer than 30 minutes at a time, as it can cause tissue damage and inflammation.

Choice A is wrong because maximum benefits do not occur within the first five minutes.

It takes time for heat to penetrate the tissues and cause vasodilation.

Choice C is wrong because the heat should not be left in place for at least one hour to be effective.

This can lead to burns, increased edema, and decreased blood flow.

Choice D is wrong because heat can not be left in place for as long as 12 hours without harmful effects.

This can cause severe tissue damage, infection, and necrosis.

Normal ranges for heat application are between 104°F and 113°F (40°C and 45°C).

The temperature should be checked frequently and adjusted according to the patient’s comfort and tolerance.

The skin should also be inspected for signs of erythema, blisters, or burns.

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Correct Answer is B

Explanation

This is because offering fluids that the client likes and in small amounts can help increase the client’s fluid intake and prevent dehydration. According to, some other nursing measures that can help improve the client’s nutritional intake are:

Encouraging favorite foods from home, when possible.
Providing frequent oral hygiene.
Providing a pleasant environment during mealtime.
Providing assistance with eating, if needed.

Choice A is wrong because placing a freshwater pitcher on the bedside table may not be enough to motivate the client to drink more fluids, especially if the client does not like plain water or has difficulty reaching for the pitcher.

Choice C is wrong because explaining the problems of inadequate intake may not be effective in changing the client’s behavior, and may even cause anxiety or resentment.

Choice D is wrong because stressing the importance of drinking fluids may also be ineffective or counterproductive, as it may sound like nagging or lecturing to the client.

A. When the client exhibits physiologic symptoms of pain. B. Prior to painful activities, such as bathing. C. On a regular schedule around the clock. D. Whenever the client requests it.

Correct Answer is C

Explanation

On a regular schedule around the clock. This is because when pain is present for more than 12 hours a day, analgesic dosages are best administered around the clock rather than on an as-needed basis.

Choice A is wrong because waiting for the client to exhibit physiologic symptoms of pain may delay the administration of analgesics and cause unnecessary suffering. Physiologic symptoms of pain are not always reliable indicators of pain intensity or quality.

Choice B is wrong because administering analgesics prior to painful activities may not provide adequate pain relief throughout the day. Painful activities may vary depending on the client’s condition and preferences.

Choice D is wrong because relying on the client’s request may not ensure optimal pain management. Some clients may be reluctant to ask for analgesics due to fear of addiction, side effects, or being perceived as weak.

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A client asks a nurse how long a heat application should be left in place. Which response should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing measure should a nurse include in the care plan to encourage a client to increase fluid intake?

Correct Answer is B

Explanation

For optimal pain management, when is the best time to administer prescribed analgesics for a client who had abdominal surgery 12 hours ago?

Correct Answer is C

Explanation

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