A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

using heavy pressure on the cold pack for greater effectiveness.

leaving the pack in place for over 30 minutes at a time.

preparing to apply heat instead if cold is not effective.

placing a towel between the pack and the skin.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Using heavy pressure on the cold pack for greater effectiveness is not the correct approach when applying a cold pack to an injured area. Applying excessive pressure can lead to tissue damage, frostbite, and can be uncomfortable for the patient. Cold packs should be applied with gentle, even pressure to avoid complications.

Choice B rationale:

Leaving the cold pack in place for over 30 minutes at a time is not recommended. Prolonged exposure to cold can also cause tissue damage, including frostbite. It is generally advised to limit cold pack applications to 20-30 minutes at a time to prevent complications.

Choice C rationale:

Preparing to apply heat instead if cold is not effective is not the appropriate action in this scenario. When a healthcare provider orders a cold pack application, it is essential to follow the prescribed treatment plan. Heat should only be considered if it is specifically ordered as an alternative treatment.

Choice D rationale:

Placing a towel between the pack and the skin is the correct approach to prevent patient injury when applying a cold pack. This helps to protect the skin from direct contact with the cold pack, reducing the risk of frostbite or cold-related injuries. It ensures a barrier between the cold pack and the patient's skin, providing a safe and comfortable application.

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Correct Answer is A

Explanation

Choice A rationale:

The Neonatal Infant Pain Scale (NIPS) is commonly used to assess pain in newborns and infants. It evaluates multiple indicators of pain, including facial expression, crying, breathing patterns, and arms and legs' movements, to determine if a baby is in pain.

Choice B rationale:

The FACES pain rating scale for children is not typically used for infants, as it relies on a child's ability to point to or describe their pain using facial expressions.

Choice C rationale:

The Premature Infant Pain Profile (PIPP) Scale is used primarily for preterm infants and not typically for all newborns. It is more specific to certain populations.

Choice D rationale:

The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is used for assessing pain in young children who may not be able to self-report. It's not specific to infants, and the NIPS is more appropriate for this population.

A. fear taking pain medication. B. are reluctant to bother the nursing staff. C. are unaware of their discomfort. D. have been culturally trained not to complain.

Correct Answer is D

Explanation

Choice A rationale:

Some older adults may indeed have concerns about taking pain medication, but this is not a primary reason for their hesitance to express pain. The fear of taking medication is not a universal characteristic of older adults.

Choice B rationale:

While older adults may be reluctant to bother nursing staff, this is not the primary reason for their reluctance to express pain. It is a consideration but not the main factor.

Choice C rationale:

The unawareness of discomfort is not a common reason for older adults to avoid expressing pain. Most older adults are aware of their discomfort but may not express it for other reasons.

Choice D rationale:

Older adults may have been culturally trained not to complain about pain or discomfort. In some cultures, stoicism and not burdening others with one's pain are highly valued. This cultural training can lead older adults to underreport their pain.

Choice E rationale:

Believing pain is a natural consequence of aging is a misconception, but it is not the primary reason why older adults may not express their pain. They may believe this, but cultural and societal factors have a more significant impact.

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A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Kathy is working in a mother-baby unit. Which pain scale is used to determine if the baby is in pain?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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