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 D

Explanation

Choice A rationale:

Sleeping with the window open for fresh air may not be the best solution in this scenario. While fresh air can be beneficial for sleep, it might not effectively block out the noise from the freeway and the nearby apartment complex. Furthermore, depending on the climate and location, having the window open might lead to discomfort or temperature-related issues.

Choice B rationale:

Performing exercise at bedtime is not a recommended solution for someone experiencing difficulty sleeping due to external noise. Exercise before bedtime can increase alertness and make it even more challenging to fall asleep, especially if it's vigorous exercise. It may exacerbate the problem rather than alleviate it.

Choice C rationale:

Having a couple of drinks at bedtime is not a suitable solution for sleep problems. Alcohol can disrupt sleep patterns and lead to poor-quality sleep. It may help the patient fall asleep initially but can lead to frequent awakenings and a less restful night's sleep.

Choice D rationale:

The correct choice is to wear soft earplugs for sleep. Soft earplugs can effectively reduce or block out external noise, providing a quieter sleep environment. This is a practical and safe solution to address the noise issue in the patient's apartment complex. It promotes better sleep quality without any negative side effects.

A. bring a newspaper or deck of cards according to patient choice. B. find a focal point in the room. C. obtain skin lotion and a towel to give a back rub. D. read from a script that helps the patient visualize a restful place.

Correct Answer is D

Explanation

Choice A rationale:

Bringing a newspaper or deck of cards does not directly relate to guided imagery, which is a technique used to help patients manage pain through visualization. It's important to provide interventions that align with the patient's expressed preference and pain management goals.

Choice B rationale:

Finding a focal point in the room is not directly related to guided imagery. While it may be helpful for relaxation in some cases, it's not a specific technique for guiding a patient through visualization to manage pain.

Choice C rationale:

Obtaining skin lotion and a towel for a back rub is not related to guided imagery, and it assumes the patient's preference without considering the patient's previously mentioned benefit from guided imagery.

Choice D rationale:

Reading from a script that helps the patient visualize a restful place aligns with the practice of guided imagery. This technique can be effective in helping patients manage pain by redirecting their focus and promoting relaxation. It's a suitable intervention based on the patient's past experience and preferences. .

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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

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

Correct Answer is D

Explanation

A patient experiencing pain states that guided imagery has made the pain more manageable in the past.To assist this patient, the nurse should:.

Correct Answer is D

Explanation

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