A nurse is caring for a client who is receiving heat applications using a heating pad. Which of the following actions should the nurse take when applying the pad?
Stop the treatment if the client's skin becomes red.
Leave the pad in place for at least 40 min.
Use safety pins to keep the pad in place.
Set the pad's temperature to 42.2° C (108° F).
The Correct Answer is A
Choice A rationale: If the client's skin becomes red, the heat application should be stopped to prevent burns or skin damage.
Choice B rationale: Heat applications are generally recommended for 20-30 minutes, not at least 40 minutes, to avoid skin damage.
Choice C rationale: Safety pins should not be used to keep the heating pad in place, as they can damage the pad or cause injury to the client.
Choice D rationale: The temperature of the heating pad should be set to a comfortable and safe level, typically below 42.2° C (108° F).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The client who is 92 years old, uses a walker, is incontinent, and has an extensive cardiac history is at higher risk for the development of pressure injuries due to age, immobility, and additional risk factors.
Choice B rationale: A client with paraplegia may be at risk for pressure injuries, but the combination of age, walker use, incontinence, and cardiac history increases the risk in Choice A.
Choice C rationale: A comatose client with a traumatic brain injury is at risk, but other factors in Choice A contribute to a higher overall risk.
Choice D rationale: A client who uses a cane and has dementia may be at risk, but the combination of age, walker use, incontinence, and cardiac history increases the risk in Choice A.
Correct Answer is C
Explanation
Choice A rationale: Calcium is essential for bone health but is not specifically emphasized in wound healing.
Choice B rationale: Vitamin B1 is important for energy metabolism but is not specifically emphasized in wound healing.
Choice C rationale: Protein is crucial for wound healing as it provides the building blocks for tissue repair and regeneration.
Choice D rationale: Vitamin D is important for bone health but is not specifically emphasized in wound healing.
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