A nurse is applying cold therapy to a client's face following oral surgery. The nurse should identify that which of the following is a therapeutic effect of cold therapy?

Increased tissue metabolism

Reduced blood coagulation

Decreased edema formation

Improved blood flow

Answer and Explanation

The Correct Answer is C

A. Increased tissue metabolism: Cold therapy slows tissue metabolism by reducing enzymatic activity and cellular function, which helps minimize inflammation and tissue damage, not increase metabolism.

B. Reduced blood coagulation: Cold therapy typically promotes vasoconstriction, which supports blood clotting rather than reducing coagulation. This effect can help control minor bleeding after surgery.

C. Decreased edema formation: Cold therapy causes vasoconstriction, which limits fluid accumulation in tissues and reduces capillary permeability, leading to less swelling and edema formation at the surgical site.

D. Improved blood flow: Cold causes vasoconstriction, which decreases blood flow temporarily. This helps limit inflammation and edema but does not enhance circulation during application.

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Correct Answer is C

Explanation

A. Gather additional information from the caller to verify their identity: Even if the caller's identity is verified, HIPAA regulations prohibit disclosing a client's medical information without the client’s explicit authorization. Verifying identity alone does not grant permission to release confidential health information.

B. Request that the caller contact the client's provider directly for information: Redirecting the caller to the provider does not resolve the issue of confidentiality. Healthcare providers are also bound by HIPAA regulations and cannot release information without proper consent, regardless of who is making the request.

C. Ask the caller to contact the client directly for information: This action respects the client’s privacy and autonomy. Under HIPAA, healthcare professionals may not disclose health information without client authorization. Advising the sibling to speak directly with the client is the appropriate response to safeguard confidentiality.

D. Provide the caller with a brief update about the client's condition: Sharing any health information without the client’s express consent is a violation of HIPAA. Even a brief update constitutes a breach of confidentiality and could result in legal and professional consequences.

A. The client holds the cane on the stronger side of their body. B. The client advances the cane forward 12.7 cm (5 in). C. The client moves their stronger leg forward first. D. The top of the cane is at the same height as the client's waist.

Correct Answer is A

Explanation

A. The client holds the cane on the stronger side of their body: Holding the cane on the stronger side improves balance and support while reducing strain on the weaker limb. It also helps coordinate movement and distribute weight more efficiently during ambulation.

B. The client advances the cane forward 12.7 cm (5 in): The cane should typically be advanced 15 to 25 cm (6 to 10 inches) forward for optimal support. Advancing it only 5 inches may provide insufficient balance assistance during walking.

C. The client moves their stronger leg forward first: The weaker leg should move forward after the cane to allow the stronger leg to support most of the weight. This pattern maximizes stability and safety during ambulation.

D. The top of the cane is at the same height as the client's waist: The cane should be level with the wrist crease when the client’s arms are relaxed at their sides, not at waist level. A cane that is too high or low can cause discomfort or improper posture.

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A nurse is applying cold therapy to a client's face following oral surgery. The nurse should identify that which of the following is a therapeutic effect of cold therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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