A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?
“I’ll rewrap my ankle starting from the knee down."
“I’ll put a heating pad on my ankle at bedtime tonight."
"I’ll bear weight on my ankle for 10 minutes every hour."
"I’ll apply ice to my ankle today and tomorrow."
The Correct Answer is D
A. Wrapping from the knee down is incorrect; the ankle should be wrapped from the toes up to provide proper compression.
B. Heat is not recommended immediately after a sprain, as it may increase swelling.
C. Bearing weight on the ankle too soon could worsen the injury.
D. Applying ice for the first 48 hours helps reduce swelling and pain, so this is the correct statement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Explanation
Stevens-Johnson syndrome: This is a serious skin reaction that can be triggered by medications such as phenytoin. The child has reported itchy, hyperpigmented patches with scratch marks and dried blood, which raises concern for a drug-induced skin reaction.
Skin rash: The presence of a skin rash, particularly one that is itchy and may be associated with recent medication changes, warrants close monitoring for potential development of Stevens-Johnson syndrome.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Explanation
Pulmonary embolism: The child shows a slight decline in oxygen saturation (from 95% to 93%) and labored breathing, both of which can indicate early signs of respiratory complications.
Oxygen saturation levels: Decreased oxygen saturation is a concerning sign that points toward respiratory issues, which can include pulmonary embolism, especially in a post-trauma patient with limited mobility.
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