A nurse is providing teaching to a client who has a prescription for heat therapy for the treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?
"I will place my leg under a heat lamp every 3 hours."
"I will wrap a warm, wet towel around my right calf every 4 hours."
"I keep a heating pad on the calf of my right leg when I am lying down."
"I will sit on the side of the tub and soak my right leg two times every day."
The Correct Answer is B
Choice A reason:
Placing the leg under a heat lamp every 3 hours is not recommended for the treatment of cellulitis. Heat lamps can cause burns and excessive drying of the skin, which may worsen the condition.
Choice B reason:
Wrapping a warm, wet towel around the affected area is a safe and effective way to apply heat therapy for cellulitis. It can help improve blood flow and relieve discomfort without the risk of burns associated with dry heat sources.
Choice C reason:
Using a heating pad directly on the skin, especially when lying down, can increase the risk of burns and is not recommended for treating cellulitis. Heating pads can provide uneven heat and may exacerbate swelling and inflammation.
Choice D reason:
Soaking the leg in water is not typically advised for cellulitis, especially if there are open wounds or breaks in the skin. Immersion in water can introduce new bacteria to the affected area and potentially worsen the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Danazol is a synthetic steroid that is typically used to treat endometriosis and fibrocystic breast disease. It is not indicated for the treatment of benign prostatic hyperplasia (BPH) and could potentially worsen symptoms due to its androgenic effects.
Choice B reason:
Methyltestosterone is an anabolic steroid with androgenic properties, similar to the male hormone testosterone. It is used to treat men with testosterone deficiency. However, it is not used for BPH treatment and, like danazol, could exacerbate BPH symptoms due to its androgenic activity.
Choice C reason:
Finasteride is a 5-alpha reductase inhibitor that is commonly prescribed for the treatment of BPH. It works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to prostate growth. By reducing DHT levels, finasteride can help shrink the prostate and alleviate urinary symptoms associated with BPH.
Choice D reason:
Fluoxymesterone is another anabolic steroid with testosterone-like effects. It is used to treat conditions associated with a deficiency or absence of endogenous testosterone. It is not suitable for BPH treatment and could potentially worsen the condition due to its androgenic properties.
Correct Answer is D
Explanation
Choice A reason:
The statement that symptoms can worsen with penile penetration during intercourse is partially correct. While sexual activity may exacerbate feelings of bulging or discomfort associated with uterine prolapse, it does not typically worsen the prolapse itself⁹. Painful intercourse, known as dyspareunia, is a common symptom of pelvic organ prolapse, which includes uterine prolapse.
Choice B reason:
Feeling a sensation of pressure in the pelvis is a classic symptom of uterine prolapse. As the uterus descends into the vaginal canal, it can create a sensation of fullness or pressure that is often noticeable and uncomfortable for the patient.
Choice C reason:
Low back pain is indeed a symptom that can be associated with uterine prolapse. The weakening of pelvic floor muscles and ligaments that leads to prolapse can also contribute to discomfort in the lower back.
Choice D reason:
The presence of feces in the vagina would not be a direct symptom of uterine prolapse. However, a related condition called rectocele, where the rectum bulges into the vagina, could cause such a symptom. This condition is different from uterine prolapse and would require separate management.
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